MEDICARE: GRPC GROUP INC

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	363LF0000X	Family Nurse Practitioner
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1831913870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRPC GROUP INC

Provider Business Mailing Address
First Line	:	4527 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-3760
Country	:	US
Telephone Number	:	702-912-4077
Fax Number	:

Provider Business Practice Location Address
First Line	:	4527 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-3760
Country	:	US
Telephone Number	:	702-490-1234
Fax Number	:	702-912-4078

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JIMMY SINGH DHALIWAL
Credential	:
Telephone Number	:	702-490-1234

Provider Enumeration Date	:	11/14/2024
Last Update Date	:	05/10/2025

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Directions to “GRPC GROUP INC ” Practice Location

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