# RURAL PHYSICIANS GROUP - PANNU PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851972087
- **Authorized official:** SUKHBIR S PANNU (CEO/ OWNER)
- **Authorized official phone:** (702) 933-3266

## Contact information

- **Practice address:** 1501 E 3RD ST, DELTA, CO 81416-2815
- **Practice address phone:** (303) 390-1924
- **Mailing address:** 5575 DTC PKWY STE 225, GREENWOOD VILLAGE, CO 80111-3073
- **Mailing address phone:** (303) 390-1924
- **Mailing address fax:** (866) 368-6349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2021
- **Last updated:** 11/12/2021