Provider Demographics
NPI:1629289566
Name:JAGDEEP S NARULA M D & ASSOCIATES P A
Entity Type:Organization
Organization Name:JAGDEEP S NARULA M D & ASSOCIATES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAGDEEP
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:NARULA
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:954-704-9300
Mailing Address - Street 1:8551 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6635
Mailing Address - Country:US
Mailing Address - Phone:954-704-9300
Mailing Address - Fax:
Practice Address - Street 1:8992 TAFT ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-4668
Practice Address - Country:US
Practice Address - Phone:954-704-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty