Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | A051282 | CA |
NPI | 1003893223 |
---|---|
Provider Name | Paramvir Singh Rahal |
First Address | Bakersfield, CA 93390-1873 |
Second Address | Bakersfield, CA 93311-3652 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2005 |
Last Update Date | 21/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6R0091560 | (05) | CA |
G01521 | (02) |