Healthcare Provider Details

I. General information

NPI: 1073456802
Provider Name (Legal Business Name): AVNEET KAUR BRAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26059 MISSION BLVD
HAYWARD CA
94544-2538
US

IV. Provider business mailing address

36163 FREMONT BLVD APT 123
FREMONT CA
94536-3559
US

V. Phone/Fax

Practice location:
  • Phone: 510-886-2207
  • Fax:
Mailing address:
  • Phone: 510-565-2193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92087
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: