Healthcare Provider Details

I. General information

NPI: 1740440593
Provider Name (Legal Business Name): ANUGEET KAUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W SEVENTH ST
FREDERICK MD
21701-4506
US

IV. Provider business mailing address

12251 ELM FOREST CT UNIT H
CLARKSBURG MD
20871-3385
US

V. Phone/Fax

Practice location:
  • Phone: 240-566-4722
  • Fax:
Mailing address:
  • Phone: 240-997-1677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberD0069065
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: