Provider Demographics
NPI:1235616400
Name:PREHAR, KARANDEEP
Entity Type:Individual
Prefix:
First Name:KARANDEEP
Middle Name:
Last Name:PREHAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8608 NE 31ST CIR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6830
Mailing Address - Country:US
Mailing Address - Phone:360-521-9513
Mailing Address - Fax:
Practice Address - Street 1:8608 NE 31ST CIR
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6830
Practice Address - Country:US
Practice Address - Phone:360-521-9513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program