| Guneet Purewal Pllc | |
|
485 Colliers Way Suite B Weirton WV 26062-5012 | |
| (304) 723-4041 | |
| (304) 723-9604 |
| Full Name | Guneet Purewal Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 485 Colliers Way, Weirton, West Virginia |
| Authorized Official Name and Position | Guneet Purewal (OWNER) |
| Authorized Official Contact | 3047234041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guneet Purewal Pllc 485 Colliers Way Suite B Weirton WV 26062-5012 Ph: (304) 723-4041 | Guneet Purewal Pllc 485 Colliers Way Suite B Weirton WV 26062-5012 Ph: (304) 723-4041 |
| NPI Number | 1588722060 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0547260820 |
|---|---|
| Medicare Enrollment ID | O20070110000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588722060 | NPI | - | NPPES |
| 1804006000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19951 (West Virginia) | Primary |
| Provider Name | Guneet Chahal Purewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912993288 PECOS PAC ID: 3779548060 Enrollment ID: I20050119000318 |
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