Provider Demographics
NPI:1245646231
Name:GREWAL, NAVJOT
Entity type:Individual
Prefix:
First Name:NAVJOT
Middle Name:
Last Name:GREWAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 NORRIS CANYON RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-5410
Mailing Address - Country:US
Mailing Address - Phone:925-415-5353
Mailing Address - Fax:925-850-1210
Practice Address - Street 1:5201 NORRIS CANYON RD STE 120
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5410
Practice Address - Country:US
Practice Address - Phone:925-415-5353
Practice Address - Fax:925-850-1210
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-10
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB09888800207RS0012X, 208M00000X
CA20A17522207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist