Prabhjit S. Purewal, Md, Inc.

NPI #1548239338 in Manteca, California

Provider Information

NPI Number: 1548239338
Entity Type: Organization
Organization Name: Prabhjit S. Purewal, Md, Inc.
Primary Specialty: Specialist
Enumeration Date: Mar 15, 2006
Last Updated: Apr 14, 2011

Practice Location

Address: 165 ST. DOMINIC'S DR
Address 2: STE 120, 140
City: Manteca
State: California
ZIP Code: 95337-7802
Phone: (209) 823-0000

Authorized Official

Name: DR. PRABHJIT S PUREWAL, MD
Title: CEO
Phone: (209) 823-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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