Provider Demographics
NPI:1710080783
Name:GURPREET KOCHAR MD PC
Entity Type:Organization
Organization Name:GURPREET KOCHAR MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GURPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-521-8450
Mailing Address - Street 1:PO BOX 205
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-0205
Mailing Address - Country:US
Mailing Address - Phone:610-259-9900
Mailing Address - Fax:610-284-7384
Practice Address - Street 1:101 DUTTON ST
Practice Address - Street 2:
Practice Address - City:RIDLEY PARK
Practice Address - State:PA
Practice Address - Zip Code:19078-2308
Practice Address - Country:US
Practice Address - Phone:610-521-8450
Practice Address - Fax:610-521-0345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039916L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1407895295OtherNPI
PA1639283062OtherNPI