Basic Information
Provider Information
NPI: 1124413869
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VOHRA
FirstName: JASPREET
MiddleName: KAUR
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SINGH
OtherFirstName: JASPREET
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 2100 POWELL ST STE 400
Address2:  
City: EMERYVILLE
State: CA
PostalCode: 946081826
CountryCode: US
TelephoneNumber: 5103502600
FaxNumber:  
Practice Location
Address1: 250 BON AIR RD
Address2:  
City: GREENBRAE
State: CA
PostalCode: 94904
CountryCode: US
TelephoneNumber: 4159257000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/31/2015
LastUpdateDate: 07/19/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X CAN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207P00000XA148493CAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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