Provider Demographics
NPI:1558068825
Name:BHANGOO, NAVDEEP KAUR (NP)
Entity Type:Individual
Prefix:
First Name:NAVDEEP
Middle Name:KAUR
Last Name:BHANGOO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4315 REDLANDS ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-5627
Mailing Address - Country:US
Mailing Address - Phone:408-355-8453
Mailing Address - Fax:
Practice Address - Street 1:4315 REDLANDS ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-5627
Practice Address - Country:US
Practice Address - Phone:408-355-8453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95023009363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily