Provider Demographics
NPI:1134370901
Name:MAHAL, AMBER KAUR (MD)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:KAUR
Last Name:MAHAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7710 N FRESNO ST # 102
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2403
Mailing Address - Country:US
Mailing Address - Phone:559-437-9100
Mailing Address - Fax:559-437-9111
Practice Address - Street 1:7710 N FRESNO ST # 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2403
Practice Address - Country:US
Practice Address - Phone:559-437-9100
Practice Address - Fax:559-437-9111
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-09
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90980207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine