Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MT209960 | PA |
Y | 111NI0900X | Internist | MT209960 | PA |
NPI | 1003294877 |
---|---|
Provider Name | Inderjit Kaur |
First Address | Scranton, PA 18510 |
Second Address | Scranton, PA 18510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2015 |
Last Update Date | 04/08/2015 |