Provider Demographics
NPI:1306191473
Name:BRAR, KARANBIR (MD)
Entity type:Individual
Prefix:DR
First Name:KARANBIR
Middle Name:
Last Name:BRAR
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 1:8861 VILLA LA JOLLA DR UNIT 12016
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92039-7073
Mailing Address - Country:US
Mailing Address - Phone:858-876-5311
Mailing Address - Fax:
Practice Address - Street 1:2424 VISTA WAY STE 105
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6178
Practice Address - Country:US
Practice Address - Phone:858-209-3717
Practice Address - Fax:858-216-1905
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA124869207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1306191473Medicaid