Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | A39435 | CA |
NPI | 1043310436 |
---|---|
Provider Name | Sarabjit S. Purewal |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Bakersfield, CA 93301-2284 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 03/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A394350 | (02) | |
A28886 | (02) |