MEDICARE: NAVJOT NAHAL

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	225100000X	Physical Therapist	308570	CA

General Provider Information

NPI Number	:	1871479139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAVJOT NAHAL

Provider Business Mailing Address
First Line	:	1229 COMMERCE AVE
Second Line	:
City	:	ATWATER
State	:	CA
Zip	:	95301-5224
Country	:	US
Telephone Number	:	209-789-5036
Fax Number	:

Provider Business Practice Location Address
First Line	:	1229 COMMERCE AVE
Second Line	:
City	:	ATWATER
State	:	CA
Zip	:	95301-5224
Country	:	US
Telephone Number	:	209-789-5036
Fax Number	:

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

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/13/2025

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Directions to “ NAVJOT NAHAL ” Practice Location

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