Provider Demographics
NPI:1528228186
Name:GHUMAN, PARAMPREET SINGH (MD)
Entity Type:Individual
Prefix:MR
First Name:PARAMPREET
Middle Name:SINGH
Last Name:GHUMAN
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 1:121 S. 12TH ST.
Mailing Address - Street 2:STE B
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98274
Mailing Address - Country:US
Mailing Address - Phone:360-982-2210
Mailing Address - Fax:360-982-2502
Practice Address - Street 1:121 S. 12TH ST
Practice Address - Street 2:STE B
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274
Practice Address - Country:US
Practice Address - Phone:360-982-2210
Practice Address - Fax:360-982-2502
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WAMD60347939207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program