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NPI Code Detail

MEDICARE: DR. SURJIT KAUR MAHAL M.D.

MEDICARE: DR. SURJIT KAUR 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
1207QA0505XAdult Medicine PhysicianA033050CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A033050OTHERCALICENCE #

General Provider Information

NPI Number : 1609920156
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SURJIT KAUR MAHAL M.D.
Provider Business Mailing Address
First Line : 39225 STATE ST
Second Line :
City : FREMONT
State : CA
Zip : 94538-1437
Country : US
Telephone Number : 510-794-3641
Fax Number : 510-794-1341
Provider Business Practice Location Address
First Line : 39225 STATE ST
Second Line :
City : FREMONT
State : CA
Zip : 94538-1437
Country : US
Telephone Number : 510-794-3641
Fax Number : 510-794-1341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 03/15/2026

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