Provider Demographics
NPI:1285322560
Name:PREMIER PULMONARY AND CRITICAL CARE PCS
Entity type:Organization
Organization Name:PREMIER PULMONARY AND CRITICAL CARE PCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:INDERJEET
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-262-1520
Mailing Address - Street 1:8130 BROOKHOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:LOOMIS
Mailing Address - State:CA
Mailing Address - Zip Code:95650-8049
Mailing Address - Country:US
Mailing Address - Phone:216-262-1520
Mailing Address - Fax:
Practice Address - Street 1:1134 PLUMAS ST
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3409
Practice Address - Country:US
Practice Address - Phone:530-205-3991
Practice Address - Fax:530-205-3826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty