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General NPI Number Information
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NPI Number | 1245561257
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Entity Type | Organization
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Legal Business Name | RANJIT S. GREWAL M.D., PA
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 11307 FM 1960 RD W SUITE 350
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City | HOUSTON
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State | TX
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Zip | 77065-3687
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Country | US
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Telephone | 281-477-0525
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Fax | 281-477-0526
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Provider Business Mailing Address
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Address Line | 11307 FM 1960 RD W SUITE 350
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City | HOUSTON
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State | TX
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Zip | 77065-3687
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Country | US
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Telephone | 281-477-0525
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Fax | 281-477-0526
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | RANJIT S. GREWAL
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Credential | MD
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Telephone | 281-477-0525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N4441
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License Number State | TX
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