Provider Demographics
NPI:1659062347
Name:HAANS, GURPREET SINGH
Entity Type:Individual
Prefix:
First Name:GURPREET
Middle Name:SINGH
Last Name:HAANS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1344 ARDILLA DR
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93638-9309
Mailing Address - Country:US
Mailing Address - Phone:559-284-3268
Mailing Address - Fax:
Practice Address - Street 1:1344 ARDILLA DR
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93638-9309
Practice Address - Country:US
Practice Address - Phone:559-284-3268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD4215777172A00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriver