Individual
GURSHAKTI SINGH PANNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 799-7028
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 799-7028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60118
CA
Other
Enumeration date
10/13/2021
Last updated
11/17/2021
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