Healthcare Provider Details

I. General information

NPI: 1760112775
Provider Name (Legal Business Name): MANMEET PAL KAUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 Y ST STE 3700
SACRAMENTO CA
95817-2307
US

IV. Provider business mailing address

4860 Y ST STE 3700
SACRAMENTO CA
95817-2307
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-6552
  • Fax: 409-772-6940
Mailing address:
  • Phone: 916-734-6552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA205707
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberBP10080751
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: