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NPI Code Detail

MEDICARE: PRABHJOT PANNU

MEDICARE: PRABHJOT PANNU
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
11041C0700XClinical Social WorkerLW61501558WA

General Provider Information

NPI Number : 1871253807
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRABHJOT PANNU
Provider Business Mailing Address
First Line : 1660 S COLUMBIAN WAY
Second Line :
City : SEATTLE
State : WA
Zip : 98108-1532
Country : US
Telephone Number : 206-762-1010
Fax Number :
Provider Business Practice Location Address
First Line : 1660 S COLUMBIAN WAY
Second Line :
City : SEATTLE
State : WA
Zip : 98108-1532
Country : US
Telephone Number : 206-762-1010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2021
Last Update Date : 05/14/2026

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Directions to “ PRABHJOT PANNU ” Practice Location

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