Provider Demographics
NPI:1609669589
Name:GURON, GURTESHWAR
Entity type:Individual
Prefix:
First Name:GURTESHWAR
Middle Name:
Last Name:GURON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10125 CAMBRIDGE OAKS CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-8723
Mailing Address - Country:US
Mailing Address - Phone:734-629-9769
Mailing Address - Fax:
Practice Address - Street 1:10125 CAMBRIDGE OAKS CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-8723
Practice Address - Country:US
Practice Address - Phone:734-629-9769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program