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Organization
PRABHJIT S. PUREWAL, MD, INC
Active
Organization
PRABHJIT S. PUREWAL, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRABHJIT S PUREWAL MD, FACP (CEO)
(209) 477-2000
Entity
Organization
Contact information
Practice address
200 COTTAGE AVE, STE 201, MANTECA, CA 95336-4935
(209) 477-2000
Mailing address
PO BOX 1047, STOCKTON, CA 95201-1047
(209) 477-2000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A48423
CA
Other
Enumeration date
05/16/2006
Last updated
08/22/2020
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