Provider Demographics
NPI:1699385476
Name:DOSANJH, HARINDER KAUR
Entity Type:Individual
Prefix:
First Name:HARINDER
Middle Name:KAUR
Last Name:DOSANJH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S MICHELLE AVE
Mailing Address - Street 2:
Mailing Address - City:KERMAN
Mailing Address - State:CA
Mailing Address - Zip Code:93630-7637
Mailing Address - Country:US
Mailing Address - Phone:559-260-8650
Mailing Address - Fax:
Practice Address - Street 1:301 S MICHELLE AVE
Practice Address - Street 2:
Practice Address - City:KERMAN
Practice Address - State:CA
Practice Address - Zip Code:93630-7637
Practice Address - Country:US
Practice Address - Phone:559-260-8650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAFO7202135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily