Individual
DR. PUSHPJEET SINGH KANWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 259-3151
Mailing address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 259-3151
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
D0083533
MD
207RG0100X
Gastroenterology Physician
Primary
ME149153
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0296703
LABOR AND INDUSTRY
WA
01
—
P01087669
RAILROAD MEDICARE
WA
Enumeration date
04/29/2008
Last updated
09/02/2021
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