Healthcare Provider Details

I. General information

NPI: 1184556433
Provider Name (Legal Business Name): SIMRAN KAUR GREWAL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 MAIN STREET
BUFFALO NY
14203
US

IV. Provider business mailing address

8479 115 STREET
DELTA BC
V4C 5N7
CA

V. Phone/Fax

Practice location:
  • Phone: 716-323-0000
  • Fax: 716-323-0290
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 StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: