Organization
AMANDEEP S. PUREWAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDEEP S. PUREWAL MD (OWNER/MD)
(304) 723-4041
Entity
Organization
Contact information
Practice address
485 COLLIERS WAY, SUITE B, WEIRTON, WV 26062-5012
(304) 723-4041
(304) 723-9607
Mailing address
485 COLLIERS WAY, SUITE B, WEIRTON, WV 26062-5012
(304) 723-4041
(304) 723-9607
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
19873
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810011697
—
WV
Enumeration date
06/27/2006
Last updated
07/09/2012
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