Active NPI
Gurtej Singh Pannu, M.D.
- Student in an Organized Health Care Education/Training Program
- Pontiac, MI
National Provider Identifier
1194497396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 4351048838
- Practice address
- Oakland Physicians Medical Center
461 W. Huron Street
Pontiac, MI 48341 - Phone
- (248) 857-6700
- NPI assigned
- Oct 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351048838 | MI | Primary |
Addresses
Primary practice location
Oakland Physicians Medical Center
461 W. Huron Street
Pontiac, MI 48341
Mailing address
Oakland Physicians Medical Center
461 W. Huron Street
Pontiac, MI 48341
Phone (248) 857-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- gpannu954066@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1194497396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "OAKLAND PHYSICIANS MEDICAL CENTER",
"address_2": "461 W. HURON STREET",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341",
"telephone_number": "248-857-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OAKLAND PHYSICIANS MEDICAL CENTER",
"address_2": "461 W. HURON STREET",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341",
"telephone_number": "248-857-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANNU",
"first_name": "GURTEJ",
"middle_name": "SINGH",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-05",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4351048838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.