Healthcare Provider Details

I. General information

NPI: 1477492833
Provider Name (Legal Business Name): KTOOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3381 N BOND AVE STE 101
FRESNO CA
93726-5726
US

IV. Provider business mailing address

3381 N BOND AVE STE 101
FRESNO CA
93726-5726
US

V. Phone/Fax

Practice location:
  • Phone: 559-374-5543
  • Fax: 559-374-5546
Mailing address:
  • Phone: 559-374-5543
  • Fax: 559-374-5546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: KIRANDEEP TOOR
Title or Position: PRESIDENT
Credential:
Phone: 559-374-5543