Kulbir S Pannu, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME91640 Issued in FL

Practice address

4750 N Federal Hwy Ste 202
Fort Lauderdale, FL 33308-4609

Phone

(954) 368-9773

Fax

(954) 530-9754

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1710090550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 N FEDERAL HWY STE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084609",
            "telephone_number": "954-368-9773",
            "fax_number": "954-530-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 N FEDERAL HWY STE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084609",
            "telephone_number": "954-368-9773",
            "fax_number": "954-530-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNU",
        "first_name": "KULBIR",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME91640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0596878",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justine Erica Panchuk, BCBA
• Sophia Pandey
• Keya Pandya, PA-C
• Monica Paneru, DO
• Panhealth LLC
• Theresa Rene Pantanella, OT/L, MPA, OTD
• Anyonya Panthagani
• Ann Marie Paolino, PSY.D.
• Gina Papa
• Stavros Papandreou, D.O.

• Nephrology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.