Individual
AMANDEEP SINGH PUREWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
485 COLLIERS WAY, SUITE B, WEIRTON, WV 26062-5012
(304) 723-4041
(304) 723-9607
Mailing address
485 COLLIERS WAY, SUITE B, WEIRTON, WV 26062-5012
(304) 723-4041
(304) 723-9607
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
19873
WV
207RG0100X
Gastroenterology Physician
35077279P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2165740
—
OH
05
—
6000228000
—
WV
Enumeration date
09/27/2005
Last updated
05/23/2008
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