Healthcare Provider Details

I. General information

NPI: 1710626932
Provider Name (Legal Business Name): KARAM DEV SINGH GREWAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2022
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WILLIAM CARLS DR
COMMERCE CHARTER MI
48382
US

IV. Provider business mailing address

8533 143 STREET
SURREY B.C.
V3W029
CA

V. Phone/Fax

Practice location:
  • Phone: 248-937-5085
  • Fax:
Mailing address:
  • Phone:
  • 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: