Provider Demographics
NPI:1003893223
Name:RAHAL, PARAMVIR SINGH (MD)
Entity Type:Individual
Prefix:
First Name:PARAMVIR
Middle Name:SINGH
Last Name:RAHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21873
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-1873
Mailing Address - Country:US
Mailing Address - Phone:661-323-1200
Mailing Address - Fax:661-616-5339
Practice Address - Street 1:9802 STOCKDALE HWY
Practice Address - Street 2:STE 102
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3652
Practice Address - Country:US
Practice Address - Phone:661-323-1200
Practice Address - Fax:661-616-5339
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA051282207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6R0091560Medicaid
G01521Medicare UPIN
CAZZZ21863ZMedicare PIN