Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | A131749 | CA |
N | 207R00000X | Internist | A131749 | CA |
N | 111NI0900X | Internist | A131749 | CA |
NPI | 1164736708 |
---|---|
Provider Name | Ms. Sukhdeep Kaur |
First Address | Paradise, CA 95969-5624 |
Second Address | Paradise, CA 95969-5624 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2010 |
Last Update Date | 07/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A131749 | CA STATE MEDICAL LICENSE (01) | CA |