Provider Demographics
NPI:1811583255
Name:TOOR, HARDEEP
Entity type:Individual
Prefix:
First Name:HARDEEP
Middle Name:
Last Name:TOOR
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 1:2443 HOMESTEAD CIR
Mailing Address - Street 2:
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-5253
Mailing Address - Country:US
Mailing Address - Phone:510-224-6066
Mailing Address - Fax:
Practice Address - Street 1:2443 HOMESTEAD CIR
Practice Address - Street 2:
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-5253
Practice Address - Country:US
Practice Address - Phone:510-224-6066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-20
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)