Basic Information
Provider Information
NPI: 1780730457
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAUR
FirstName: PARAMJIT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
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Mailing Information
Address1: 2121 NORTH AVE
Address2: MAIL STOP 111
City: GRAND JUNCTION
State: CO
PostalCode: 815016428
CountryCode: US
TelephoneNumber: 9702441321
FaxNumber: 9709857817
Practice Location
Address1: 2121 NORTH AVE
Address2: MAIL STOP 111
City: GRAND JUNCTION
State: CO
PostalCode: 815016428
CountryCode: US
TelephoneNumber: 9702441321
FaxNumber: 9709857817
Other Information
ProviderEnumerationDate: 01/26/2007
LastUpdateDate: 01/09/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000XTL-1528CON Student, Health CareStudent in an Organized Health Care Education/Training Program 
2084N0400X47174COY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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