Michael Jude Pankau
MD | Pediatrics | Male
Michael Jude Pankau, MD is a Idaho Falls, Idaho based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Michael Jude Pankau is
3430 Washington Pkwy, Idaho Falls, Idaho - 83404-7579. He can be contacted on phone at
208-523-3060 and fax number 208-523-0028.
Michael Jude Pankau is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael Jude Pankau is
1558475111 which was assigned by NPPES on 19 Aug, 2006 and it was last updated on 10 Sep, 2009.
Michael Jude Pankau license number is
M4815 for Pediatrics (208000000X) in Idaho.
Michael Jude Pankau is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Michael Jude Pankau basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Michael Jude Pankau |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
Michael Jude Pankau address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3430 Washington Pkwy
Idaho Falls, ID, 83404-7579
United States |
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| Phone Number : | 208-523-3060 |
|---|
| Fax Number : | 208-523-0028 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1558475111 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Aug, 2006 |
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| Last Updated On : | 10 Sep, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Jude Pankau are as mentioned. Primary taxonomy code for Michael Jude Pankau, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | F9918 | TX |
| 208000000X | Pediatrics | Yes | M4815 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Michael Jude Pankau such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 110702000 | MEDICAID | WY | |
| 1285786046 | MEDICAID | WY | |
| 000010005951 | Other | ID | BLUE SHIELD |
| 0117402 | MEDICAID | MT | |
| 0038900000 | MEDICAID | ID | |
| 48157 | Other | ID | BLUE CROSS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3430 Washington Pkwy
Idaho Falls, ID, 83404-7579
United States |
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| Phone Number : | 208-523-3060 |
|---|
| Fax Number : | 208-523-0028 |
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Business Location:
Patients can refer following map for directions to
Michael Jude Pankau practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.