Grewal, Mandeep S

Grewal, Mandeep S is an individual health care provider with primary practice located at 251 N Lyerly St Suite 100, Chattanooga TN 37404-2739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Grewal, Mandeep S can be contacted via phone (423) 826-8000.

Contact Information

Primary practice address
251 N Lyerly St Suite 100 Chattanooga TN 37404-2739
Phone: (423) 826-8000
Fax: (423) 826-8015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 26508 Tennessee
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 035642 Georgia

Profile Details

NPI number 1447256862
LBN Legal business name Grewal, Mandeep S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated May 14th, 2009 - about 16 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 1447256862 NPPES
Tennessee MEDICAID 3091534

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