Provider Demographics
NPI:1932315124
Name:GREWAL, SANDEEP S (MD)
Entity Type:Individual
Prefix:
First Name:SANDEEP
Middle Name:S
Last Name:GREWAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4100 BEECHER RD
Mailing Address - Street 2:STE B
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3661
Mailing Address - Country:US
Mailing Address - Phone:810-235-8568
Mailing Address - Fax:810-235-4902
Practice Address - Street 1:4100 BEECHER RD
Practice Address - Street 2:STE B
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3661
Practice Address - Country:US
Practice Address - Phone:810-235-8568
Practice Address - Fax:810-235-4902
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2013-09-25
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Provider Licenses
StateLicense IDTaxonomies
MI4301085206207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology