Provider Demographics
NPI:1295230530
Name:MATHAROO, GURNEET KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:GURNEET
Middle Name:KAUR
Last Name:MATHAROO
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 1:800 W FRONTIER LN
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7216
Mailing Address - Country:US
Mailing Address - Phone:913-397-7800
Mailing Address - Fax:913-397-7801
Practice Address - Street 1:1006 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:HUGOTON
Practice Address - State:KS
Practice Address - Zip Code:67951-2858
Practice Address - Country:US
Practice Address - Phone:620-544-8511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS390200000X
KS04-44994207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program