Individual
TARANDEEP SINGH GREWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5443 W MOLLY LN, PHOENIX, AZ 85083-6376
(602) 773-1120
Mailing address
5749 W PINNACLE HILL DR, GLENDALE, AZ 85310-3632
(480) 478-6628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50196
AZ
207Q00000X
Family Medicine Physician
MT201636
PA
208M00000X
Hospitalist Physician
50196
AZ
Other
Enumeration date
05/18/2012
Last updated
03/28/2022
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