Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD461143 | PA |
NPI | 1013209592 |
---|---|
Provider Name | Karandeep Maur |
First Address | Meadville, PA 16335-2945 |
Second Address | Meadville, PA 16335-2905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2011 |
Last Update Date | 05/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033079530001 | (05) | PA |
3587771 | HIGHMARK BCBS (01) | PA |
432169 | UPMC (01) | PA |