Healthcare Provider Details

I. General information

NPI: 1720941404
Provider Name (Legal Business Name): SHARANDEEP KAUR PANDHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 SEAFORTH DR
BAKERSFIELD CA
93312-7001
US

IV. Provider business mailing address

321 SEAFORTH DR
BAKERSFIELD CA
93312-7001
US

V. Phone/Fax

Practice location:
  • Phone: 206-883-0014
  • Fax:
Mailing address:
  • Phone: 206-883-0014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95037540
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: