Provider Demographics
NPI:1740582329
Name:GURPREET KOCHAR MD-PC
Entity Type:Organization
Organization Name:GURPREET KOCHAR MD-PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VERA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-259-5522
Mailing Address - Street 1:685 FERNE BLVD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-3110
Mailing Address - Country:US
Mailing Address - Phone:610-259-9900
Mailing Address - Fax:610-284-7384
Practice Address - Street 1:685 FERNE BLVD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-3110
Practice Address - Country:US
Practice Address - Phone:610-259-9900
Practice Address - Fax:610-284-7384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
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
E13505Medicare UPIN