Healthcare Provider Details

I. General information

NPI: 1013405612
Provider Name (Legal Business Name): RAVNEET KAUR THIND DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2018
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2071 HERNDON AVE
CLOVIS CA
93611-6101
US

IV. Provider business mailing address

2071 HERNDON AVE
CLOVIS CA
93611-6101
US

V. Phone/Fax

Practice location:
  • Phone: 559-324-5100
  • Fax:
Mailing address:
  • Phone: 559-324-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number19412
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: