1538258454 NPI number — HARSOHENA KAUR MD

Table of content: HARSOHENA KAUR MD (NPI 1538258454)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538258454 NPI number — HARSOHENA KAUR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KAUR
Provider First Name:
HARSOHENA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538258454
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/19/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
35 LOUISE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILLTOWN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08850-2176
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-821-1578
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
254 EASTON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW BRUNSWICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08901-1766
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-745-8600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/11/2006

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: 208000000X , with the licence number:  25MA09690400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1046265 . This is a "PREFERRED ONE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 182478 . This is a "U CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2422946 . This is a "ARAZ" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0150631 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 34822500 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0715060 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: HP59656 . This is a "HEALTH PARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 12-09026 . This is a "MEDICA-PRIMARY" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 722T2KA . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: B706 . This is a "CHAMPUS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 031685700 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 12-03550 . This is a "MEDICA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




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