Provider Demographics
NPI:1114681269
Name:PREMIER ALLERGY ASTHMA AND IMMUNOLOGY PLLC
Entity Type:Organization
Organization Name:PREMIER ALLERGY ASTHMA AND IMMUNOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KIRANJIT
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:KHALSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-410-0698
Mailing Address - Street 1:8575 E PRINCESS DR STE 111
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5437
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8575 E PRINCESS DR STE 111
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5437
Practice Address - Country:US
Practice Address - Phone:516-410-0698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-25
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & ImmunologyGroup - Single Specialty