Provider Demographics
NPI:1619195534
Name:KAUR, AMANDEEP (MD)
Entity Type:Individual
Prefix:MRS
First Name:AMANDEEP
Middle Name:
Last Name:KAUR
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 1:4480 UTICA RIDGE ROAD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722
Mailing Address - Country:US
Mailing Address - Phone:563-742-5950
Mailing Address - Fax:563-742-5956
Practice Address - Street 1:4480 UTICA RIDGE ROAD
Practice Address - Street 2:SUITE 160
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722
Practice Address - Country:US
Practice Address - Phone:563-742-5950
Practice Address - Fax:563-742-5956
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA39679207RI0200X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIB2621081Medicare PIN