Healthcare Provider Details

I. General information

NPI: 1477561520
Provider Name (Legal Business Name): RANJIT SINGH GREWAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10726 HUFFMEISTER RD STE 150
HOUSTON TX
77065-3182
US

IV. Provider business mailing address

10726 HUFFMEISTER RD STE 150
HOUSTON TX
77065-3182
US

V. Phone/Fax

Practice location:
  • Phone: 281-477-0525
  • Fax: 281-477-0526
Mailing address:
  • Phone: 281-477-0525
  • Fax: 281-477-0526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberN4441
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: