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PRABHJIT S. PUREWAL MD INC. NPI 1548239338


NPI Information

NPI: 1548239338
Provider Name: PRABHJIT S. PUREWAL, MD, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
165 ST. DOMINIC'S DR
STE 120, 140
MANTECA, CA
ZIP 95337
Phone: (209) 823-0000
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PRABHJIT S. PUREWAL, MD, INC. is a specialist in Manteca, CA. The provider is 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. PRABHJIT S. PUREWAL, MD, INC. NPI is 1548239338. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

165 ST. DOMINIC'S DR
STE 120, 140
MANTECA, CA
ZIP 95337-802
Phone: (209) 823-0000
Fax: (209) 824-1449

The provider's authorized official is Prabhjit S Purewal .
The authorized official title is Ceo and has the following contact phone number (209) 823-0000.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 4/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA48423CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A484231OTHERCALIFORNIAMEDI CAL
2ZZZ23785ZOTHERCALIFORNIAMEDICARE
3F77423MEDICARE UPINCALIFORNIA
4P00023054OTHERCALIFORNIARAILROAD MEDICARE
5ZZZ23785ZMEDICARE PINCALIFORNIA
6A484230OTHERCALIFORNIAMEDICARE ID -TYPE UNSPECIFIED
7DA3789OTHERCALIFORNIARAILRODA MEDICARE
8ZZZ65257YOTHERCALIFORNIABLUE SHIELD
9ZZZ65256YOTHERCALIFORNIABLUE SHIELD
10ZZZ66761ZOTHERCALIFORNIABLUE SHIELD
1100A484230MEDICAIDCALIFORNIA
12ZZZ06721ZOTHERCALIFORNIABLUE SHIELD
13ZZZ65255YOTHERCALIFORNIABLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.