Provider Demographics
NPI:1205222874
Name:KAPUR, MANDEEP KAUR (MD)
Entity type:Individual
Prefix:DR
First Name:MANDEEP
Middle Name:KAUR
Last Name:KAPUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MANDEEP
Other - Middle Name:KAUR
Other - Last Name:GILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:15559 UNION AVE # 626
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-3904
Mailing Address - Country:US
Mailing Address - Phone:408-320-7626
Mailing Address - Fax:
Practice Address - Street 1:15559 UNION AVE # 626
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-3904
Practice Address - Country:US
Practice Address - Phone:408-320-7626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-10
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1532282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry