institution
Prabhjit S. Purewal, Md, Inc.
Specialist in Manteca, California
NPI 1548239338

Prabhjit S. Purewal, Md, Inc. is a Specialist based in Stockton, CA. Prabhjit S. Purewal, Md, Inc. practices in Manteca, CA. The NPI Number for Prabhjit S. Purewal, Md, Inc. is 1548239338 and holds a License No. A48423 (California).

The current practice location address for Prabhjit S. Purewal, Md, Inc. is 165 St. Dominic's Dr, Manteca, CA and can be reached out via phone at 209-823-0000 and via fax at 209-824-1449.

Location: 165 St. Dominic's Dr, Manteca, CA, 95267-0935
institution
Provider Profile Details
NPI Number
1548239338
Provider Name
Prabhjit S. Purewal, Md, Inc.
Credential
Provider Entity Type
Organization
Address
165 St. Dominic's Dr, Manteca, CA, 95267-0935
Phone Number
209-823-0000
Fax Number
209-824-1449
Provider Enumeration Date
03/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ06721Z 01 CA BLUE SHIELD
ZZZ23785Z 01 CA MEDICARE
00A484230 05 CA
00A484231 01 CA MEDI CAL
A484230 01 CA MEDICARE ID -TYPE UNSPECIFIED
ZZZ65255Y 01 CA BLUE SHIELD
ZZZ65256Y 01 CA BLUE SHIELD
DA3789 01 CA RAILRODA MEDICARE
P00023054 01 CA RAILROAD MEDICARE
ZZZ65257Y 01 CA BLUE SHIELD
ZZZ66761Z 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
165 St. Dominic's Dr
City
State
Zip
95337-7802
Phone Number
209-823-0000
Fax Number
209-824-1449
person
Provider Business Mailing Address Details
Address
165 St. Dominic's Dr
City
State
Zip
95337-7802
Phone Number
209-823-0000
Fax Number
209-824-1449
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
A48423 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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