Provider Demographics
NPI:1083494793
Name:HARSIMRAN BRAR MD PC
Entity Type:Organization
Organization Name:HARSIMRAN BRAR MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HARSIMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:279-300-6068
Mailing Address - Street 1:5000 WINDPLAY DR STE 4
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-9319
Mailing Address - Country:US
Mailing Address - Phone:279-300-6068
Mailing Address - Fax:916-848-0516
Practice Address - Street 1:5000 WINDPLAY DR STE 4
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9319
Practice Address - Country:US
Practice Address - Phone:279-300-6068
Practice Address - Fax:916-848-0516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty