Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 000346 | AL |
NPI | 1023415270 |
---|---|
Provider Name | Dr. Maninder Kaur |
First Address | Birmingham, AL 35233-2005 |
Second Address | Birmingham, AL 35233-2005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2014 |
Last Update Date | 02/12/2014 |