Provider Demographics
NPI:1669096202
Name:SRA, HARMANDEEP KAUR (MD)
Entity type:Individual
Prefix:
First Name:HARMANDEEP KAUR
Middle Name:
Last Name:SRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HARMANDEEP KAUR
Other - Middle Name:
Other - Last Name:SRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:730 RIVERSIDE DRIVE
Mailing Address - Street 2:APARTMENT 212
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43605
Mailing Address - Country:US
Mailing Address - Phone:516-406-7206
Mailing Address - Fax:419-251-6795
Practice Address - Street 1:2213 CHERRY STREET, ACC BUILDING, 1ST FLOOR, MERCY ST.
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608
Practice Address - Country:US
Practice Address - Phone:419-251-4744
Practice Address - Fax:419-251-6795
Is Sole Proprietor?:No
Enumeration Date:2020-05-29
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35148093207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine