Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A135173 | CA |
NPI | 1003130634 |
---|---|
Provider Name | Dr. Ameet Kaur Grewal |
First Address | Monterey, CA 93940-5285 |
Second Address | Monterey, CA 93940-2909 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2010 |
Last Update Date | 27/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1720697709 | NPI TYPE 2 (01) | |
GR0066350 | (05) | CA |