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NPI Code Detail

MEDICARE: DR. NAVDEEP SINGH PUREWAL MD

MEDICARE: DR. NAVDEEP SINGH PUREWAL 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
12084P0800XPsychiatry PhysicianMD438387PA
22084P0800XPsychiatry Physician21993WV

General Provider Information

NPI Number : 1881663094
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NAVDEEP SINGH PUREWAL MD
Provider Business Mailing Address
First Line : 651 COLLIERS WAY
Second Line : SUITE 212
City : WEIRTON
State : WV
Zip : 26062-5053
Country : US
Telephone Number : 304-723-6040
Fax Number : 304-723-6090
Provider Business Practice Location Address
First Line : 437 RAILROAD ST
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-2329
Country : US
Telephone Number : 412-221-3302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 10/05/2018

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