Provider Demographics
NPI:1972682938
Name:BAGGA, HARPREET KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:HARPREET
Middle Name:KAUR
Last Name:BAGGA
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 1:349 ROUTE 206
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4667
Mailing Address - Country:US
Mailing Address - Phone:908-359-4150
Mailing Address - Fax:908-359-9548
Practice Address - Street 1:349 ROUTE 206
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4667
Practice Address - Country:US
Practice Address - Phone:908-359-4150
Practice Address - Fax:908-359-9548
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07685900207Q00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
I14626Medicare UPIN