Healthcare Provider Details

I. General information

NPI: 1467071068
Provider Name (Legal Business Name): HARSIMRAN KAUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 S 23RD ST
FORT PIERCE FL
34950-4803
US

IV. Provider business mailing address

294 PIERMONT AVE APT 1A
NYACK NY
10960-4648
US

V. Phone/Fax

Practice location:
  • Phone: 772-467-8211
  • Fax:
Mailing address:
  • Phone: 585-507-8542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberME175188
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: