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NPI Code Detail

MEDICARE: DR. MANPREET KAUR DPM

MEDICARE: DR. MANPREET KAUR DPM
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1629901962
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MANPREET KAUR DPM
Provider Business Mailing Address
First Line : 4672 SHADOW RIDGE BLVD
Second Line :
City : GREENWOOD
State : IN
Zip : 46143-8483
Country : US
Telephone Number : 317-938-0319
Fax Number :
Provider Business Practice Location Address
First Line : 5225 23RD AVE S
Second Line :
City : FARGO
State : ND
Zip : 58104-7927
Country : US
Telephone Number : 701-417-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ DR. MANPREET KAUR DPM” Practice Location

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