Healthcare Provider Details

I. General information

NPI: 1194973545
Provider Name (Legal Business Name): HARPAL KAUR BRAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 08/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2339 W CLEVELAND AVE SIUTE 101
MADERA CA
93637-8753
US

IV. Provider business mailing address

2339 W CLEVELAND AVE SIUTE 101
MADERA CA
93637-8753
US

V. Phone/Fax

Practice location:
  • Phone: 559-675-9400
  • Fax: 559-675-9404
Mailing address:
  • Phone: 559-675-9400
  • Fax: 559-675-9404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA84459
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: