Healthcare Provider Details

I. General information

NPI: 1528403391
Provider Name (Legal Business Name): GURNEET KAUR M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2013
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 MERCY AVE
MERCED CA
95340-8319
US

IV. Provider business mailing address

4690 HUTCHINSON LN
MERCED CA
95348-8536
US

V. Phone/Fax

Practice location:
  • Phone: 209-564-5000
  • Fax:
Mailing address:
  • Phone: 425-279-3333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA123285
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: