Provider Demographics
NPI:1205289659
Name:OBEROI, JASPREET KAUR
Entity type:Individual
Prefix:
First Name:JASPREET KAUR
Middle Name:
Last Name:OBEROI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JASPREET KAUR
Other - Middle Name:
Other - Last Name:JANDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2799 W GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-2608
Mailing Address - Country:US
Mailing Address - Phone:313-916-2600
Mailing Address - Fax:
Practice Address - Street 1:2500 N STATE ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39217-2608
Practice Address - Country:US
Practice Address - Phone:601-984-1530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-21
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program