Provider Demographics
NPI:1528025723
Name:SRAN, SARBJEET KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:SARBJEET
Middle Name:KAUR
Last Name:SRAN
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 1:912 2ND ST NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-3851
Mailing Address - Country:US
Mailing Address - Phone:828-327-0600
Mailing Address - Fax:828-327-3223
Practice Address - Street 1:912 2ND ST NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3851
Practice Address - Country:US
Practice Address - Phone:828-327-0600
Practice Address - Fax:828-327-3223
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31657207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8979096Medicaid
NC2202558Medicare ID - Type UnspecifiedMEDICARE
NC8979096Medicaid