Basic Information
Provider Information
NPI: 1821267394
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AULAKH
FirstName: AMANDEEP
MiddleName: KAUR
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 30 W RAMPART ST STE 200
Address2:  
City: SHELBYVILLE
State: IN
PostalCode: 461768846
CountryCode: US
TelephoneNumber: 3174212012
FaxNumber: 3173981851
Practice Location
Address1: 2451 INTELLIPLEX DR STE 260
Address2:  
City: SHELBYVILLE
State: IN
PostalCode: 461768580
CountryCode: US
TelephoneNumber: 3173980121
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/28/2008
LastUpdateDate: 10/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/15/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X01085026AINY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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