Individual
JITESHWAR SINGH PANNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 STANTON L YOUNG BLVD # 6300, OKLAHOMA CITY, OK 73104-5018
(405) 271-5963
Mailing address
800 STANTON L YOUNG BLVD # 6300, OKLAHOMA CITY, OK 73104-5018
(405) 271-5963
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
38221
OK
390200000X
Student in an Organized Health Care Education/Training Program
38221
OK
Other
Enumeration date
07/11/2021
Last updated
09/23/2024
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