Jaswant Singh Pannu MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

JASWANT SINGH PANNU MD PA

Doing business as

pannu laser institute

Practice address

4300 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1918

Phone

(954) 484-0700

Fax

(954) 484-0705

NPI assigned

Oct 20, 2006

Last updated

Nov 9, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Debra Pannu

Title

Administrator

Phone

(954) 484-0700

Specialties & licenses 1

Addresses

Other names 1

• pannu laser institute Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1295817948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W OAKLAND PARK BLVD",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131918",
            "telephone_number": "954-484-0700",
            "fax_number": "954-484-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W OAKLAND PARK BLVD",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131918",
            "telephone_number": "954-484-0700",
            "fax_number": "954-484-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASWANT SINGH PANNU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "PANNU",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-484-0700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pannu laser institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.