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NPI Code Detail

MEDICARE: DR. GAMDUR S BRAR MD

MEDICARE:  DR. GAMDUR S BRAR  MD
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
12080N0001XNeonatal-Perinatal Medicine PhysicianC51065CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C51065OTHERCALICENSE

General Provider Information

NPI Number : 1154308484
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GAMDUR S BRAR MD
Provider Business Mailing Address
First Line : 2339 W CLEVELAND AVE STE 101
Second Line :
City : MADERA
State : CA
Zip : 93637-8765
Country : US
Telephone Number : 559-675-9400
Fax Number : 559-675-9404
Provider Business Practice Location Address
First Line : 2339 W CLEVELAND AVE STE 101
Second Line :
City : MADERA
State : CA
Zip : 93637-8765
Country : US
Telephone Number : 155-967-5940
Fax Number : 559-675-9404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 03/07/2023

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Directions to “ DR. GAMDUR S BRAR MD” Practice Location

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