| S Pannu Inc | |
| 
					1800 Spring Ridge Dr Susanville CA 96130-6100  | |
| (530) 252-2000 | |
| Not Available | 
| Full Name | S Pannu Inc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 1800 Spring Ridge Dr, Susanville, California | 
| Authorized Official Name and Position | Lori A Labrecque (ACCTS. MGR) | 
| Authorized Official Contact | 7024533799 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| S Pannu Inc 10624 S Eastern Ave Suite 263 Henderson NV 89052-2982 Ph: (702) 597-1597  | S Pannu Inc 1800 Spring Ridge Dr Susanville CA 96130-6100 Ph: (530) 252-2000  | 
| NPI Number | 1407987522 | 
|---|---|
| Provider Enumeration Date | 03/08/2007 | 
| Last Update Date | 06/01/2009 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407987522 | NPI | - | NPPES | 
| A56442 | Other | CA | MEDICAL LIC | 
| 002018039 | Medicaid | NV | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 8682 (Nevada) | Primary | 
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