Provider Demographics
NPI:1821802190
Name:HEMLOCK HEALTH PLLC
Entity type:Organization
Organization Name:HEMLOCK HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MANPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:SRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-499-3370
Mailing Address - Street 1:2285 SPRUCE GOOSE ST APT A130
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-2631
Mailing Address - Country:US
Mailing Address - Phone:559-499-3370
Mailing Address - Fax:
Practice Address - Street 1:17875 REDMOND WAY STE 140
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-4936
Practice Address - Country:US
Practice Address - Phone:559-499-3370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care