1477340032 NPI number — KUMARI SIMRAN

Table of content: KUMARI SIMRAN (NPI 1477340032)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477340032 NPI number — KUMARI SIMRAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SIMRAN
Provider First Name:
KUMARI
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
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:
1477340032
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/03/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
02/09/2026
NPI Reactivation Date:
03/03/2026

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1705 N GREENWOOD STREET, APT # 04
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PUEBLO
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81003-2705
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
380-266-7878
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
311 W 14TH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PUEBLO
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81003-2705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-595-7585
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2025

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 , with the licence number:  TL0011018 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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