Provider Demographics
NPI:1851445209
Name:BRAR, PREETINDER PAUL SINGH (MD)
Entity Type:Individual
Prefix:
First Name:PREETINDER
Middle Name:PAUL SINGH
Last Name:BRAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8029 CORPORATE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-4548
Mailing Address - Country:US
Mailing Address - Phone:704-543-7574
Mailing Address - Fax:704-543-7959
Practice Address - Street 1:8029 CORPORATE CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-4548
Practice Address - Country:US
Practice Address - Phone:704-543-7574
Practice Address - Fax:704-543-7959
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC366562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCN 36656Medicaid
NC8917997Medicaid
NC8917997Medicaid
2188836CMedicare ID - Type Unspecified