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NPI Code Detail

MEDICARE: HARDEV GREWAL

MEDICARE: HARDEV GREWAL
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
12085R0205XRadiological Physics PhysicianTRP785FL

General Provider Information

NPI Number : 1114874898
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARDEV GREWAL
Provider Business Mailing Address
First Line : 2015 JEFFERSON ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32206-3531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2015 JEFFERSON ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32206-3531
Country : US
Telephone Number : 904-588-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ HARDEV GREWAL ” Practice Location

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