Healthcare Provider Details

I. General information

NPI: 1891554978
Provider Name (Legal Business Name): HARGURBIR ALHUWALIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2024
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 MERCY AVE
MERCED CA
95340-8363
US

IV. Provider business mailing address

10921 N WOODROW AVE
FRESNO CA
93730-5158
US

V. Phone/Fax

Practice location:
  • Phone: 209-564-3500
  • Fax:
Mailing address:
  • Phone: 559-579-3403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: