Provider Demographics
NPI:1942707989
Name:BHINDER, HARSIMRAN KAUR (MD)
Entity Type:Individual
Prefix:
First Name:HARSIMRAN
Middle Name:KAUR
Last Name:BHINDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SIMRAN
Other - Middle Name:KAUR
Other - Last Name:BHINDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1700 MCHENRY AVE
Mailing Address - Street 2:STE 65B
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-4333
Mailing Address - Country:US
Mailing Address - Phone:209-576-3525
Mailing Address - Fax:209-576-3544
Practice Address - Street 1:1441 FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-4404
Practice Address - Country:US
Practice Address - Phone:209-576-3525
Practice Address - Fax:209-576-3544
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-06
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA174149207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine