Individual
AMARJIT S GREWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, MAIN JAIL PSYCHIATRY UNIT, SAN JOSE, CA 95128-2604
(408) 299-8757
Mailing address
759 SUNSET GLEN DR, SAN JOSE, CA 95123-4544
(408) 224-8826
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
A37895
CA
2084P0800X
Psychiatry Physician
Primary
A37895
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A378950
—
CA
Enumeration date
04/13/2006
Last updated
07/06/2011
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