MEDICARE: MR. KARAM DEV SINGH GREWAL 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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1710626932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KARAM DEV SINGH GREWAL M.D.

Provider Business Mailing Address
First Line	:	8533 143 STREET
Second Line	:
City	:	SURREY
State	:	B.C.
Zip	:	V3W029
Country	:	CA
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 WILLIAM CARLS DR
Second Line	:
City	:	COMMERCE CHARTER
State	:	MI
Zip	:	48382
Country	:	US
Telephone Number	:	248-937-5085
Fax Number	:

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

Provider Enumeration Date	:	06/04/2022
Last Update Date	:	03/07/2023

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