Provider Demographics
NPI:1740213982
Name:KAUR, RUPINDER D (MD)
Entity Type:Individual
Prefix:DR
First Name:RUPINDER
Middle Name:D
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 1:3300 BATTLEGROUND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2447
Mailing Address - Country:US
Mailing Address - Phone:336-645-9555
Mailing Address - Fax:336-282-0907
Practice Address - Street 1:3300 BATTLEGROUND AVE STE 100
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2447
Practice Address - Country:US
Practice Address - Phone:336-645-9555
Practice Address - Fax:336-282-0907
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC95009662084P0800X
NC95-00966174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC9500966OtherMEDICAL LICENSE