Individual
MANPREET BRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
632 W GIBSON RD, WOODLAND, CA 95695-5169
(530) 662-3961
Mailing address
632 W GIBSON RD, WOODLAND, CA 95695-5169
(530) 662-3961
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241455
NY
208M00000X
Hospitalist Physician
Primary
241455
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02817036
—
NY
01
—
P00745210
MEDICARE RAILROAD
CA
Enumeration date
09/20/2006
Last updated
12/15/2021
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