Provider Demographics
NPI:1881024305
Name:NAT, MANITA KAUR (MD)
Entity Type:Individual
Prefix:
First Name:MANITA
Middle Name:KAUR
Last Name:NAT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8450 W CHARLESTON BLVD APT 1060
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-9075
Mailing Address - Country:US
Mailing Address - Phone:818-303-5721
Mailing Address - Fax:
Practice Address - Street 1:2760 S ELM AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706-5435
Practice Address - Country:US
Practice Address - Phone:559-457-5300
Practice Address - Fax:559-457-5390
Is Sole Proprietor?:No
Enumeration Date:2013-11-19
Last Update Date:2018-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA158994207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology