# AJANAMJOT K GREWAL MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467798843
- **Authorized official:** AJANAMJOT K GREWAL MD (OWNER)
- **Authorized official phone:** (760) 790-0005

## Contact information

- **Practice address:** 4231 US HIGHWAY 86, SUITE 6, BRAWLEY, CA 92227-9648
- **Practice address phone:** (760) 790-0005
- **Practice address fax:** (760) 344-7106
- **Mailing address:** PO BOX 7096, STOCKTON, CA 95267-0096
- **Mailing address phone:** (209) 956-7725
- **Mailing address fax:** (209) 956-7733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A103791 | CA | Yes |

## Other

- **Enumeration date:** 12/12/2012
- **Last updated:** 11/25/2014