Provider Demographics
NPI:1609403591
Name:BRAR, GURVINDER S
Entity Type:Individual
Prefix:
First Name:GURVINDER
Middle Name:S
Last Name:BRAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 HARTS FORD WAY
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-8136
Mailing Address - Country:US
Mailing Address - Phone:317-820-7616
Mailing Address - Fax:
Practice Address - Street 1:229 HARTS FORD WAY
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-8136
Practice Address - Country:US
Practice Address - Phone:317-820-7616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-23
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program