Provider Demographics
NPI:1063443596
Name:BRAR, ROMMEL SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:ROMMEL
Middle Name:SINGH
Last Name:BRAR
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 1:3604 SAPPHIRE SEA CT
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-7289
Mailing Address - Country:US
Mailing Address - Phone:702-666-7969
Mailing Address - Fax:
Practice Address - Street 1:3966 NORTH RANCHO DRIVE
Practice Address - Street 2:VETERANS AFFAIRS NW OUTPATIENT CLINIC
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130
Practice Address - Country:US
Practice Address - Phone:702-791-9020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 89079207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine