| Amandeep S. Purewal, Llc | |
|
485 Colliers Way Suite B Weirton WV 26062-5012 | |
| (304) 723-4041 | |
| (304) 723-9607 |
| Full Name | Amandeep S. Purewal, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 485 Colliers Way, Weirton, West Virginia |
| Authorized Official Name and Position | Amandeep S. Purewal (OWNER/MD) |
| Authorized Official Contact | 3047234041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amandeep S. Purewal, Llc 485 Colliers Way Suite B Weirton WV 26062-5012 Ph: (304) 723-4041 | Amandeep S. Purewal, Llc 485 Colliers Way Suite B Weirton WV 26062-5012 Ph: (304) 723-4041 |
| NPI Number | 1093742611 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 07/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093742611 | NPI | - | NPPES |
| 3810011697 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 19873 (West Virginia) | Primary |
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