1205680154 NPI number — RAVINDERJEET KAUR PUAR M.B.B.S.

Table of content: RAVINDERJEET KAUR PUAR M.B.B.S. (NPI 1205680154)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205680154 NPI number — RAVINDERJEET KAUR PUAR M.B.B.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PUAR
Provider First Name:
RAVINDERJEET KAUR
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.B.B.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KAUR
Provider Other First Name:
RAVINDER JEET
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1205680154
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2800 MAIN STREET
Provider Second Line Business Mailing Address:
DEPARTMENT OF MEDICAL EDUCATION
Provider Business Mailing Address City Name:
BRIDGEPORT
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06606
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
475-210-5440
Provider Business Mailing Address Fax Number:
475-210-5022

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2800 MAIN STREET
Provider Second Line Business Practice Location Address:
DEPARTMENT OF MEDICAL EDUCATION
Provider Business Practice Location Address City Name:
BRIDGEPORT
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
475-210-5440
Provider Business Practice Location Address Fax Number:
475-210-5022
Provider Enumeration Date:
04/16/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com