Provider Demographics
NPI:1043236797
Name:KAUR, HANSPREET (MD)
Entity Type:Individual
Prefix:
First Name:HANSPREET
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 N CHELAN AVE
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2028
Mailing Address - Country:US
Mailing Address - Phone:509-663-8711
Mailing Address - Fax:
Practice Address - Street 1:820 N CHELAN AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2028
Practice Address - Country:US
Practice Address - Phone:509-663-8711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-064154207RH0003X
NY298818207RH0003X
WAMD61195713207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7887639OtherAETNA
OHP00337973OtherRAILROAD MEDICARE
OH2511302Medicaid
OH363687OtherWELLCARE
OHP00432051OtherRAILROAD MEDICARE
OH000000221151OtherUNISON
OH741824OtherBUCKEYE
OH000000539572OtherANTHEM
OH741824OtherBUCKEYE
KA4146732Medicare PIN
OH7887639OtherAETNA