Provider Demographics
NPI:1558663377
Name:KAUR, SUKHVIR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SUKHVIR
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 TRUMBULL ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06103-1501
Mailing Address - Country:US
Mailing Address - Phone:508-250-9748
Mailing Address - Fax:
Practice Address - Street 1:229 TRUMBULL ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06103-1501
Practice Address - Country:US
Practice Address - Phone:508-250-9748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH272671835P0018X
CT00118661835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist