Individual
SIDAK PANNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 MAIN ST STE 201, SPRINGFIELD, MA 01107-1150
(413) 794-0900
(413) 794-2996
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
22677
NH
2085R0204X
Vascular & Interventional Radiology Physician
Primary
1014931
MA
Other
Enumeration date
04/12/2016
Last updated
11/17/2023
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