Healthcare Provider Details

I. General information

NPI: 1972831790
Provider Name (Legal Business Name): HARMEET SINGH GURM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

568 E HERNDON AVE SUITE 201
FRESNO CA
93720-2989
US

IV. Provider business mailing address

568 E HERNDON AVE SUITE 201
FRESNO CA
93720-2989
US

V. Phone/Fax

Practice location:
  • Phone: 559-228-6600
  • Fax:
Mailing address:
  • Phone: 559-228-6600
  • Fax:

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 State
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA123671
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: