Basic Information
Provider Information
NPI: 1063668648
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIRING
FirstName: INDERPAL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: O.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10470 OLD PLACERVILLE RD
Address2: #100
City: SACRAMENTO
State: CA
PostalCode: 958272539
CountryCode: US
TelephoneNumber: 8004700071
FaxNumber:  
Practice Location
Address1: 1020 29TH ST
Address2: ST 480
City: SACRAMENTO
State: CA
PostalCode: 958165125
CountryCode: US
TelephoneNumber: 9167333777
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/14/2008
LastUpdateDate: 05/11/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XSL0511NVY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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