Provider Demographics
NPI:1932125135
Name:PADAM, GURPREET KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:GURPREET
Middle Name:KAUR
Last Name:PADAM
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 1:900 VETERANS BLVD
Mailing Address - Street 2:SUITE 300 KAISER PERMANENTE
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1715
Mailing Address - Country:US
Mailing Address - Phone:650-299-4923
Mailing Address - Fax:
Practice Address - Street 1:900 VETERANS BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1715
Practice Address - Country:US
Practice Address - Phone:650-299-4923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88960207Q00000X, 207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine