MEDICARE: DR. SANJEEV 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	207W00000X	Ophthalmology Physician	C136854	CA

General Provider Information

NPI Number	:	1972573103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANJEEV GREWAL M.D.

Provider Business Mailing Address
First Line	:	1801 E TAHQUITZ CANYON WAY
Second Line	:	SUITE 200
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-7120
Country	:	US
Telephone Number	:	800-898-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 E TAHQUITZ CANYON WAY
Second Line	:	SUITE 200
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-7120
Country	:	US
Telephone Number	:	800-898-2020
Fax Number	:

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	02/11/2017

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