MEDICARE: MANINDER PAUL S BAINS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	A104391	CA
2	207RP1001X	Pulmonary Disease Physician	A104391	CA

General Provider Information

NPI Number	:	1053410241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANINDER PAUL S BAINS M.D.

Provider Business Mailing Address
First Line	:	1526 PLUMAS CT
Second Line	:	STE 400
City	:	YUBA CITY
State	:	CA
Zip	:	95991-2961
Country	:	US
Telephone Number	:	530-777-3547
Fax Number	:	530-777-3084

Provider Business Practice Location Address
First Line	:	1162 LIVE OAK BLVD
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-3407
Country	:	US
Telephone Number	:	530-743-5428
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	08/04/2020

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