Provider Demographics
NPI:1124221932
Name:BATTH, KIRANDEEP KAUR (MD)
Entity Type:Individual
Prefix:
First Name:KIRANDEEP
Middle Name:KAUR
Last Name:BATTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KIRANDEEP
Other - Middle Name:
Other - Last Name:KAUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1313 E HERNDON AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3306
Mailing Address - Country:US
Mailing Address - Phone:559-431-8081
Mailing Address - Fax:559-981-2049
Practice Address - Street 1:1313 E HERNDON AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3306
Practice Address - Country:US
Practice Address - Phone:559-431-8081
Practice Address - Fax:559-981-2049
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA97323207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine