Basic Information
Provider Information
NPI: 1932485505
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SRAN
FirstName: GURMEET
MiddleName: SINGH
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 130 SUTTER ST
Address2: 2ND FLOOR
City: SAN FRANCISCO
State: CA
PostalCode: 941044003
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 130 SUTTER ST
Address2: 2ND FLOOR
City: SAN FRANCISCO
State: CA
PostalCode: 941044003
CountryCode: US
TelephoneNumber: 4152910480
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/27/2011
LastUpdateDate: 05/27/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA-113286CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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