Provider Demographics
NPI:1134395890
Name:MAHAL, PARMINDER SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:PARMINDER
Middle Name:SINGH
Last Name:MAHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PARMINDER
Other - Middle Name:
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:50 CYPRESS POINT PKWY
Mailing Address - Street 2:SUITE A3
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-2500
Mailing Address - Country:US
Mailing Address - Phone:386-445-0977
Mailing Address - Fax:386-445-0579
Practice Address - Street 1:50 CYPRESS POINT PKWY
Practice Address - Street 2:SUITE A3
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-2500
Practice Address - Country:US
Practice Address - Phone:386-445-0977
Practice Address - Fax:386-445-0579
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME101528207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine