Provider Demographics
NPI:1487216602
Name:ATWAL CLINIC LLC
Entity Type:Organization
Organization Name:ATWAL CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PALDEEP
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:ATWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-364-9985
Mailing Address - Street 1:515 N FLAGLER DR STE 350
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-4349
Mailing Address - Country:US
Mailing Address - Phone:904-364-9985
Mailing Address - Fax:650-897-5097
Practice Address - Street 1:515 N FLAGLER DR STE 350
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-4349
Practice Address - Country:US
Practice Address - Phone:904-364-9985
Practice Address - Fax:650-897-5097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)Group - Multi-Specialty
No207SG0202XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Biochemical GeneticsGroup - Multi-Specialty
No261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGeneticsGroup - Multi-Specialty