Provider Demographics
NPI:1518521434
Name:KAUR, SURINDER PAL
Entity Type:Individual
Prefix:
First Name:SURINDER
Middle Name:PAL
Last Name:KAUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 BELMONT ST
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-6706
Mailing Address - Country:US
Mailing Address - Phone:559-801-8406
Mailing Address - Fax:
Practice Address - Street 1:204 BELMONT ST
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-6706
Practice Address - Country:US
Practice Address - Phone:559-801-8406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle