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Organization
GINA BRAR MD INC
Active
Organization
GINA BRAR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA BRAR MD (PRESIDENT)
(559) 323-0940
Entity
Organization
Contact information
Practice address
7075 N MAPLE AVE STE 101, FRESNO, CA 93720-8014
(559) 323-0940
Mailing address
7075 N MAPLE AVE STE 101, FRESNO, CA 93720-8014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A53763
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A537630
MEDICARE ID
CA
05
—
00A537630
—
CA
01
—
05D961197
CLIA
CA
Enumeration date
08/26/2008
Last updated
03/07/2023
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