Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 18004221A | IN |
NPI | 1003432022 |
---|---|
Provider Name | Dr. Rajbir Kaur |
First Address | Carmel, IN 46032-7966 |
Second Address | Carmel, IN 46032-7966 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2020 |
Last Update Date | 27/07/2020 |