Basic Information
| Provider Information | |||||||||
| NPI: | 1992356844 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAUR | ||||||||
| FirstName: | KARAMJEET | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1006 LAVENDER PL | ||||||||
| Address2: | |||||||||
| City: | HERCULES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945472006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5102004809 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2523 EL PORTAL DR | ||||||||
| Address2: | |||||||||
| City: | SAN PABLO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 948063305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5102153700 | ||||||||
| FaxNumber: | 5102153751 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/23/2019 | ||||||||
| LastUpdateDate: | 09/23/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN95150833 | CA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.