Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 055120 | CT |
N | 111NI0900X | Internist | 055120 | CT |
Y | 207RA0201X | Internist - Allergy & Immunology | A159126 | CA |
NPI | 1134567092 |
---|---|
Provider Name | Ravdeep Kaur |
First Address | Napa, CA 94558-6446 |
Second Address | Napa, CA 94558-6446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2013 |
Last Update Date | 31/07/2019 |