# AMRITPAL PANNU, MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHOWCHILLA FAMILY CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598183238
- **Authorized official:** LISA HAWTHORNE (MANAGER)
- **Authorized official phone:** (559) 665-0275

## Contact information

- **Practice address:** 129 N 5TH ST, CHOWCHILLA, CA 93610-2820
- **Practice address phone:** (559) 665-0275
- **Practice address fax:** (559) 665-7126
- **Mailing address:** 129 N 5TH ST, CHOWCHILLA, CA 93610-2820
- **Mailing address phone:** (559) 665-0275
- **Mailing address fax:** (559) 665-7126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | A62711 | CA | Yes |

## Other

- **Enumeration date:** 03/31/2014
- **Last updated:** 06/13/2014
