Brar, Pardeep S

Brar, Pardeep S is an sole proprietor health care provider with primary practice located at 803 Coffee Rd Suite 5, Modesto CA 95355-4227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Brar, Pardeep S can be contacted via phone (209) 624-8780.

Contact Information

Primary practice address
803 Coffee Rd Suite 5 Modesto CA 95355-4227
Fax: (209) 208-3292
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X C54142 California

Profile Details

NPI number 1538153713
LBN Legal business name Brar, Pardeep S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Feb 13th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538153713 NPPES
California Other CD069A MEDICARE GROUP PTAN
California Other EP663Z MEDICARE GROUP PTAN

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