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Individual

PREETKANWAL K GREWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1930 BISHOP LN STE 1600, LOUISVILLE, KY 40218
(502) 272-5044
(502) 272-5121
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(202) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301099335
MI
207Q00000X
Family Medicine Physician
Primary
47085
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4301099335
ST LICENSE
MI
Enumeration date
07/01/2011
Last updated
10/06/2021
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