Physician Compare National (NPI:1033370556)

HEALTHCARE PROVIDER: MARINA VLADIMIROVNA BACHURINA

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1033370556
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365601721
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130913000405
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BACHURINA
	Individual professional last name
Provider First Name	MARINA
	Individual professional first name
Provider Middle Name	VLADIMIROVNA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	DERMATOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	DERMATOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	RURAL PHYSICIANS GROUP PANNU PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0345467486
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	111
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1690 MEADE ST
	Group Practice or individual's line 1 address
City	DENVER
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	802041552
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3032646900
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y