Provider Demographics
NPI:1730925025
Name:ENDOCRINE & METABOLIC HEALTH SERVICES LLC
Entity type:Organization
Organization Name:ENDOCRINE & METABOLIC HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIRANJOT
Authorized Official - Middle Name:
Authorized Official - Last Name:GUJRAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:612-296-7801
Mailing Address - Street 1:PO BOX 990
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-0990
Mailing Address - Country:US
Mailing Address - Phone:612-296-7801
Mailing Address - Fax:
Practice Address - Street 1:1970 HOSPITAL VIEW WAY UNIT B
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1920
Practice Address - Country:US
Practice Address - Phone:612-296-7801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-05
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty