Provider Demographics
NPI:1922546076
Name:KAUR, SIMRAN PAL (PHARMD)
Entity Type:Individual
Prefix:
First Name:SIMRAN
Middle Name:PAL
Last Name:KAUR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7209 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-1727
Mailing Address - Country:US
Mailing Address - Phone:347-821-1854
Mailing Address - Fax:
Practice Address - Street 1:7209 31ST AVE
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11370-1727
Practice Address - Country:US
Practice Address - Phone:347-821-1854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist