Provider Demographics
NPI:1740082403
Name:KAUR, BALREET (LAC MSA)
Entity type:Individual
Prefix:MRS
First Name:BALREET
Middle Name:
Last Name:KAUR
Suffix:
Gender:
Credentials:LAC MSA
Other - Prefix:DR
Other - First Name:BALREET
Other - Middle Name:
Other - Last Name:KAUR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DRKAUR
Mailing Address - Street 1:12612 BRIDGETON DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-1000
Mailing Address - Country:US
Mailing Address - Phone:240-639-2204
Mailing Address - Fax:
Practice Address - Street 1:12612 BRIDGETON DR
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-1000
Practice Address - Country:US
Practice Address - Phone:240-639-2204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU03126171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist