Provider Demographics
NPI:1700145224
Name:GOWAN, JESSPREET KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSPREET
Middle Name:KAUR
Last Name:GOWAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6475 CAMDEN AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-2846
Mailing Address - Country:US
Mailing Address - Phone:408-268-4900
Mailing Address - Fax:408-268-2431
Practice Address - Street 1:6475 CAMDEN AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95120-2846
Practice Address - Country:US
Practice Address - Phone:408-268-4900
Practice Address - Fax:408-268-2431
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program