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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
DR. PRABHJIT S PUREWAL MD, FACP (PRESIDENT)
(209) 477-2000
Entity
Organization
Contact information
Practice address
4722 QUAIL LAKES DR STE A, STOCKTON, CA 95207-5244
(209) 477-2000
(209) 477-0248
Mailing address
PO BOX 7935, STOCKTON, CA 95267-0935
(209) 477-2000
(209) 477-0248
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A48423
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5343040001
DMERC NUMBER
CA
Enumeration date
05/15/2007
Last updated
07/23/2008
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