Provider Demographics
NPI:1720222060
Name:PALL, AMANDEEP K (MD)
Entity Type:Individual
Prefix:DR
First Name:AMANDEEP
Middle Name:K
Last Name:PALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMANDEEP
Other - Middle Name:
Other - Last Name:KAUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 6774
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-6774
Mailing Address - Country:US
Mailing Address - Phone:732-422-3398
Mailing Address - Fax:973-618-5523
Practice Address - Street 1:2090 ROUTE 27
Practice Address - Street 2:SUITE 101
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902
Practice Address - Country:US
Practice Address - Phone:732-422-3398
Practice Address - Fax:973-618-5523
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08862000207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease