Provider Demographics
NPI:1730293630
Name:PARAMVIR S. RAHAL MD, INC
Entity Type:Organization
Organization Name:PARAMVIR S. RAHAL MD, INC
Other - Org Name:DBA ADVANCED GASTROENTEROLOGY MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PARAMVIR
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-721-1200
Mailing Address - Street 1:PO BOX 21873
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-1873
Mailing Address - Country:US
Mailing Address - Phone:661-323-1200
Mailing Address - Fax:661-323-1204
Practice Address - Street 1:1205 GARCES HWY
Practice Address - Street 2:STE 105
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215
Practice Address - Country:US
Practice Address - Phone:661-721-1200
Practice Address - Fax:661-721-1204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0091561Medicaid
CAGR0091561Medicaid
CAZZZ1864ZMedicare PIN