| Sonia Panjwani, M.d., Inc. | |
|
12760 Hesperia Rd Ste B Victorville CA 92395-8305 | |
| (760) 951-5552 | |
| (760) 951-5535 |
| Full Name | Sonia Panjwani, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12760 Hesperia Rd Ste B, Victorville, California |
| Authorized Official Name and Position | Sonia Panjwani (PHYSICIAN) |
| Authorized Official Contact | 7609515552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonia Panjwani, M.d., Inc. 12760 Hesperia Rd Ste B Victorville CA 92395-8305 Ph: (760) 951-5552 | Sonia Panjwani, M.d., Inc. 12760 Hesperia Rd Ste B Victorville CA 92395-8305 Ph: (760) 951-5552 |
| NPI Number | 1639366180 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 09/28/2007 |
| Medicare PECOS PAC ID | 7113821018 |
|---|---|
| Medicare Enrollment ID | O20031121000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639366180 | NPI | - | NPPES |
| 00A518680 | Medicaid | CA | |
| P00190286 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A51868 (California) | Primary |
| Provider Name | Sonia Panjwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316978075 PECOS PAC ID: 5991609893 Enrollment ID: I20040220001034 |
| Provider Name | Dennise A Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669838637 PECOS PAC ID: 8325311178 Enrollment ID: I20170830001989 |
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