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PRABHJIT S. PUREWAL, MD, INC.
NPI 1548239338
Specialist in Manteca, CA

Active since March 15, 2006
165 ST. DOMINIC'S DR, STE 120, 140, MANTECA, CA 95337(209) 823-0000(209) 824-1449 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prabhjit S. Purewal, Md, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRABHJIT S. PUREWAL, MD, INC. (NPI 1548239338) is a healthcare organization registered as a specialist in Manteca, California and active in the NPI registry since March 2006. The organization lists Prabhjit S Purewal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548239338
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRABHJIT S. PUREWAL, MD, INC.
Location Address165 ST. DOMINIC'S DR, STE 120, 140Manteca, CA 95337-7802
Mailing AddressPo Box 7935Stockton, CA 95267-0935 · (209) 823-0000 · Fax (209) 824-1449
Phone(209) 823-0000
Fax(209) 824-1449
Organization SubpartNo
Authorized OfficialPrabhjit S PurewalCeo · (209) 823-0000
Enumeration DateMarch 15, 2006
Last NPPES UpdateApril 14, 2011
✔ NPI 1548239338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A48423
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
165 ST. DOMINIC'S DR, Manteca, CA 95337
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Other Identifiers 13

Other00A484231CA · Medi Cal
OtherZZZ23785ZCA · Medicare
Medicare UPINF77423CA
OtherP00023054CA · Railroad Medicare
Medicare PINZZZ23785ZCA
OtherA484230CA · Medicare Id -type Unspecified
OtherDA3789CA · Railroda Medicare
OtherZZZ65257YCA · Blue Shield
OtherZZZ65256YCA · Blue Shield
OtherZZZ66761ZCA · Blue Shield
Medicaid00A484230CA
OtherZZZ06721ZCA · Blue Shield
OtherZZZ65255YCA · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prabhjit S. Purewal, MD, Inc.'s NPI number?

The NPI number for Prabhjit S. Purewal, MD, Inc. is 1548239338. It was assigned to this organization in the NPPES registry on March 15, 2006.

Where is Prabhjit S. Purewal, MD, Inc. located?

Prabhjit S. Purewal, MD, Inc. is located at 165 St. Dominic's Dr Ste 120, 140, Manteca, CA 95337. The listed phone number is (209) 823-0000.

What is Prabhjit S. Purewal, MD, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Prabhjit S. Purewal, MD, Inc. was last updated on April 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.