Provider Demographics
NPI:1174199889
Name:SHERGILL, GURSIMRAN PAL SINGH
Entity Type:Individual
Prefix:
First Name:GURSIMRAN PAL
Middle Name:SINGH
Last Name:SHERGILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:GURSIMRAN PAL
Other - Middle Name:SINGH
Other - Last Name:SHERGILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER BLVD, CROZER CHESTER MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013
Mailing Address - Country:US
Mailing Address - Phone:610-447-2000
Mailing Address - Fax:610-447-2000
Practice Address - Street 1:1 MEDICAL CENTER BLVD, CROZER CHESTER MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013
Practice Address - Country:US
Practice Address - Phone:610-447-2000
Practice Address - Fax:610-447-2000
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program