Provider Demographics
NPI:1407822844
Name:KAUR, MANJEET (MD)
Entity Type:Individual
Prefix:
First Name:MANJEET
Middle Name:
Last Name:KAUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 GOOD DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2433
Mailing Address - Country:US
Mailing Address - Phone:717-544-3700
Mailing Address - Fax:
Practice Address - Street 1:690 GOOD DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2433
Practice Address - Country:US
Practice Address - Phone:717-544-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038512L2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30022220OtherKEYSTONE MERCY
PA3251336OtherAETNA - HMO
PA0038122000OtherINDEPENDENCE BLUE CROSS
PA20013649OtherAMERIHEALTH MERCY
PA50056075OtherCAPITAL BLUE CROSS
PA000898930 0002Medicaid
PA1512465OtherGATEWAY
PA000000135238OtherUNISON
PA39335OtherGEISINGER
PA7206522OtherAETNA - NON HMO
PA000197857OtherHIGHMARK
PA0038122000OtherAMERIHEALTH 65
PA50056075OtherKEYSTONE HEALTH PLAN CENTRAL
PA50056075OtherKEYSTONE HEALTH PLAN CENTRAL