Provider Demographics
NPI:1164872370
Name:VIRK, JASMINE KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:KAUR
Last Name:VIRK
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 1:441 E CHOCOLATE AVE
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-1324
Mailing Address - Country:US
Mailing Address - Phone:717-533-7850
Mailing Address - Fax:717-533-8294
Practice Address - Street 1:441 E CHOCOLATE AVE
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1324
Practice Address - Country:US
Practice Address - Phone:717-533-7850
Practice Address - Fax:717-533-8294
Is Sole Proprietor?:No
Enumeration Date:2016-06-18
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD479132208000000X
VA0101265894208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics