Healthcare Provider Details

I. General information

NPI: 1013408848
Provider Name (Legal Business Name): RAMANDEEP KAUR M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2018
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16465 SIERRA LAKES PKWY STE 115
FONTANA CA
92336-1242
US

IV. Provider business mailing address

16465 SIERRA LAKES PKWY STE 115
FONTANA CA
92336-1242
US

V. Phone/Fax

Practice location:
  • Phone: 909-823-8000
  • Fax: 909-823-8088
Mailing address:
  • Phone: 909-823-8000
  • Fax: 909-823-8088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA174248
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: