Provider Demographics
NPI:1568133585
Name:KAUR, RAJDEEP (PA)
Entity Type:Individual
Prefix:
First Name:RAJDEEP
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:235 E NORTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DINUBA
Mailing Address - State:CA
Mailing Address - Zip Code:93618-3530
Mailing Address - Country:US
Mailing Address - Phone:559-737-8025
Mailing Address - Fax:
Practice Address - Street 1:1790 E MANNING AVE
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-9467
Practice Address - Country:US
Practice Address - Phone:800-492-4227
Practice Address - Fax:559-634-0318
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant