Basic Information
Provider Information
NPI: 1255774824
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAUR
FirstName: GURVINDER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 1321 NW 14TH ST
Address2:  
City: MIAMI
State: FL
PostalCode: 331251673
CountryCode: US
TelephoneNumber: 3052436946
FaxNumber: 3052433337
Practice Location
Address1: 1321 NW 14TH ST
Address2:  
City: MIAMI
State: FL
PostalCode: 331251673
CountryCode: US
TelephoneNumber: 3052436946
FaxNumber: 3052433337
Other Information
ProviderEnumerationDate: 04/12/2013
LastUpdateDate: 06/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000XDR.0066673CON Allopathic & Osteopathic PhysiciansNeurological Surgery 
207T00000X125063155ILN Allopathic & Osteopathic PhysiciansNeurological Surgery 
207T00000XME144901FLY Allopathic & Osteopathic PhysiciansNeurological Surgery 

No ID Information.


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