Provider Demographics
NPI:1629206842
Name:KAUR, RAJWINDER (MD)
Entity Type:Individual
Prefix:
First Name:RAJWINDER
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-339-2025
Mailing Address - Fax:717-339-2011
Practice Address - Street 1:147 GETTYS RD
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2534
Practice Address - Country:US
Practice Address - Phone:717-339-2025
Practice Address - Fax:717-339-2011
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.125361207R00000X
PAMD446361207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102758584Medicaid
PA1611057OtherGATEWAY
MD055775700Medicaid
PA30122399OtherAMERIHEALTH MERCY-WMG
PA2720765OtherHIGHMARK BLUE SHIELD
PA418684OtherUPMC
PAMD446361OtherMEDICAL LICENSE
PAMD446361OtherMEDICAL LICENSE