Provider Demographics
NPI:1669638094
Name:KAUR, GURVINDER (MD, MHA)
Entity Type:Individual
Prefix:
First Name:GURVINDER
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:MD, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 MALL DR
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-5786
Mailing Address - Country:US
Mailing Address - Phone:559-537-1677
Mailing Address - Fax:559-537-1678
Practice Address - Street 1:115 MALL DR
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-5786
Practice Address - Country:US
Practice Address - Phone:559-537-1677
Practice Address - Fax:559-537-1678
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA114294207R00000X, 208M00000X
MI4301091637207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine