Provider Demographics
NPI:1215932249
Name:TREHAN, NARINDER (MD)
Entity type:Individual
Prefix:DR
First Name:NARINDER
Middle Name:
Last Name:TREHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 NIGHTHAWK WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-4202
Mailing Address - Country:US
Mailing Address - Phone:561-694-1857
Mailing Address - Fax:
Practice Address - Street 1:6450 38TH AVE N
Practice Address - Street 2:SUITE 400
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-1645
Practice Address - Country:US
Practice Address - Phone:727-545-4444
Practice Address - Fax:727-545-5855
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME33430207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL592252139OtherTAX ID #
FLME0033430OtherFL STATE MEDICAL LICENSE
FL592252139OtherTAX ID #
FLD70649Medicare UPIN