MEDICARE: DR. PARMINDER SINGH MAHAL M.D.

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
1	207Q00000X	Family Medicine Physician	ME101528	FL

General Provider Information

NPI Number	:	1134395890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PARMINDER SINGH MAHAL M.D.

Provider Business Mailing Address
First Line	:	50 CYPRESS POINT PKWY
Second Line	:	SUITE A3
City	:	PALM COAST
State	:	FL
Zip	:	32164-2500
Country	:	US
Telephone Number	:	386-445-0977
Fax Number	:	386-445-0579

Provider Business Practice Location Address
First Line	:	50 CYPRESS POINT PKWY
Second Line	:	SUITE A3
City	:	PALM COAST
State	:	FL
Zip	:	32164-2500
Country	:	US
Telephone Number	:	386-445-0977
Fax Number	:	386-445-0579

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2008
Last Update Date	:	01/27/2022

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