Provider Demographics
NPI:1083752760
Name:KAUR, TEJAL (MD)
Entity Type:Individual
Prefix:DR
First Name:TEJAL
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 1:19 W 21ST ST RM 1003
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6843
Mailing Address - Country:US
Mailing Address - Phone:917-720-4480
Mailing Address - Fax:888-396-3996
Practice Address - Street 1:19 W 21ST ST RM 1003
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6843
Practice Address - Country:US
Practice Address - Phone:917-720-4480
Practice Address - Fax:888-396-3996
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2522352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry