Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 0101242780 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD422653 | PA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 0101242780 | VA |
NPI | 1093826083 |
---|---|
Provider Name | Harpreet Singh Grewal |
First Address | Mechanicsville, VA 23116-2329 |
Second Address | Mechanicsville, VA 23116-2329 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 07/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1093826083 | (05) | VA |
C06115 | GROUP PTAN (01) | VA |