MEDICARE: INDER PREET KAUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	MD.48653	AL
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2083P0901X	Public Health & General Preventive Medicine Physician	MD.48653	AL

General Provider Information

NPI Number	:	1437521564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INDER PREET KAUR

Provider Business Mailing Address
First Line	:	3700 S RAILROAD ST STE A
Second Line	:
City	:	PHENIX CITY
State	:	AL
Zip	:	36867-2994
Country	:	US
Telephone Number	:	334-664-0463
Fax Number	:	334-408-6354

Provider Business Practice Location Address
First Line	:	3700 S RAILROAD ST STE A
Second Line	:
City	:	PHENIX CITY
State	:	AL
Zip	:	36867-2994
Country	:	US
Telephone Number	:	334-664-0463
Fax Number	:	334-408-6354

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2015
Last Update Date	:	07/16/2025

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1699352674 — FARRAH-AMOY W. FULLERTON MD
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Directions to “ INDER PREET KAUR ” Practice Location

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