MEDICARE: RISHI SINGH GREWAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	036-121465	IL
2	207RG0100X	Gastroenterology Physician	04-45135	KS
3	207RG0100X	Gastroenterology Physician	2010006692	MO

General Provider Information

NPI Number	:	1417054404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RISHI SINGH GREWAL MD

Provider Business Mailing Address
First Line	:	5100 W 110TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66211-1215
Country	:	US
Telephone Number	:	913-234-7600
Fax Number	:

Provider Business Practice Location Address
First Line	:	5100 W 110TH ST FL 1
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66211-1215
Country	:	US
Telephone Number	:	913-234-7600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	12/01/2025

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