Most Relevant Information
Provider Data
| NPI Number: | 1003596537 |
| Provider Name: | MOONPREET SINGH DEOL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/19/2023 |
| Last Updated: | 07/19/2023 |
Provider Practice Location
200 WISTERIA DR
GAINESVILLE
GA
305013827
Practice Location Phone/Fax
| Phone: | 7702195407 |
| Fax: |
Provider Mailing Location
743 SPRING ST NE STE 710
GAINESVILLE
GA
305013715
Provider Mailing Phone/Fax
| Phone: | 7702198730 |
| Fax: |