Healthcare Provider Details

I. General information

NPI: 1023203080
Provider Name (Legal Business Name): TARANDEEP KAUR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4355 TOWN CENTER BLVD STE 210
EL DORADO HILLS CA
95762-7115
US

IV. Provider business mailing address

4355 TOWN CENTER BLVD STE 210
EL DORADO HILLS CA
95762-7115
US

V. Phone/Fax

Practice location:
  • Phone: 916-294-7428
  • Fax: 916-405-3828
Mailing address:
  • Phone: 916-294-7428
  • Fax: 916-405-3828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License NumberC158984
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC158984
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number52090
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: