Provider Demographics
NPI:1699700971
Name:BRAR, HARBINDER S (MD INC)
Entity type:Individual
Prefix:
First Name:HARBINDER
Middle Name:S
Last Name:BRAR
Suffix:
Gender:M
Credentials:MD INC
Other - Prefix:
Other - First Name:HERB
Other - Middle Name:S
Other - Last Name:BRAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD INC
Mailing Address - Street 1:PO BOX 5878
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92517-5878
Mailing Address - Country:US
Mailing Address - Phone:951-683-4695
Mailing Address - Fax:951-682-1821
Practice Address - Street 1:3637 ARLINGTON AVE STE E202
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3923
Practice Address - Country:US
Practice Address - Phone:951-683-4675
Practice Address - Fax:951-683-1148
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40011170100000X, 207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA29022Medicare UPIN
CAA40011Medicare Oscar/Certification