# RURAL PHYSICIANS GROUP-PANNU PLLC

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

## Provider details

- **NPI number:** 1861808719
- **Authorized official:** SUKHBIR S PANNU M.D. (OWNER)
- **Authorized official phone:** (702) 204-7747

## Contact information

- **Practice address:** 5575 DTC PKWY STE 225, GREENWOOD VILLAGE, CO 80111-3073
- **Practice address phone:** (303) 390-1924
- **Practice address fax:** (866) 368-6349
- **Mailing address:** 10624 S EASTERN AVE, STE A-263, HENDERSON, NV 89052-2982
- **Mailing address phone:** (702) 453-3799
- **Mailing address fax:** (702) 453-5741

## 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 | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2014
- **Last updated:** 12/14/2020