Provider Demographics
NPI:1457542540
Name:ATWAL, PAUL SINGH (PAUL ATWAL, OD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:SINGH
Last Name:ATWAL
Suffix:
Gender:M
Credentials:PAUL ATWAL, OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 N ARBOLEDA DR
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-9425
Mailing Address - Country:US
Mailing Address - Phone:209-726-0729
Mailing Address - Fax:209-726-1957
Practice Address - Street 1:560 N ARBOLEDA DR
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-9425
Practice Address - Country:US
Practice Address - Phone:209-726-0729
Practice Address - Fax:209-726-1957
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13349T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management