Provider Demographics
NPI:1649210816
Name:KAUR, TEJINDER P (MD)
Entity Type:Individual
Prefix:
First Name:TEJINDER
Middle Name:P
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:PO BOX 6423
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85246-6423
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14815 W BELL RD STE 106
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-7603
Practice Address - Country:US
Practice Address - Phone:623-312-3012
Practice Address - Fax:480-398-8079
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ25447207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ434605Medicaid
AZZ173246Medicare PIN
AZG58302Medicare UPIN
AZ990004765Medicare PIN
AZZ68668Medicare PIN