Provider Demographics
NPI:1992588370
Name:JOHAL, ABHIKARAN SINGH (PA-C)
Entity type:Individual
Prefix:
First Name:ABHIKARAN
Middle Name:SINGH
Last Name:JOHAL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 SPINDRIFT CT APT 7
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7871
Mailing Address - Country:US
Mailing Address - Phone:716-730-1297
Mailing Address - Fax:
Practice Address - Street 1:16 SPINDRIFT CT APT 7
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7871
Practice Address - Country:US
Practice Address - Phone:716-730-1297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical