Individual
DR. PARDEEP S BRAR
Active
Individual
DR. PARDEEP S BRAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C54142
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD069A
MEDICARE GROUP PTAN
CA
01
—
EP663Z
MEDICARE INDIVIDUAL PTAN
CA
Enumeration date
09/02/2005
Last updated
02/13/2013
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