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NPI Code Detail

MEDICARE: DR. JASPREET SINGH ATWAL

MEDICARE: DR. JASPREET SINGH ATWAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist62633CA

General Provider Information

NPI Number : 1114297728
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASPREET SINGH ATWAL
Provider Business Mailing Address
First Line : 4473 NILAND ST
Second Line :
City : UNION CITY
State : CA
Zip : 94587-5486
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2300 OTIS DR
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-5722
Country : US
Telephone Number : 510-523-7043
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2012
Last Update Date : 01/12/2012

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