Provider Demographics
NPI:1053410241
Name:BAINS, MANINDER PAUL S (MD)
Entity type:Individual
Prefix:
First Name:MANINDER PAUL
Middle Name:S
Last Name:BAINS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1526 PLUMAS CT
Mailing Address - Street 2:STE 400
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-2961
Mailing Address - Country:US
Mailing Address - Phone:530-777-3547
Mailing Address - Fax:530-777-3084
Practice Address - Street 1:1162 LIVE OAK BLVD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3407
Practice Address - Country:US
Practice Address - Phone:530-743-5428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA104391207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1053410241Medicare PIN