Provider Demographics
NPI:1245357375
Name:GREWAL, PREEYA PATEL (MD)
Entity type:Individual
Prefix:DR
First Name:PREEYA
Middle Name:PATEL
Last Name:GREWAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:145 S NAPPANEE ST
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46514-1967
Mailing Address - Country:US
Mailing Address - Phone:574-304-1519
Mailing Address - Fax:574-333-2979
Practice Address - Street 1:145 S NAPPANEE ST
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-1967
Practice Address - Country:US
Practice Address - Phone:574-304-1519
Practice Address - Fax:574-333-2979
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01065917A2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology