Healthcare Provider Details

I. General information

NPI: 1942589239
Provider Name (Legal Business Name): PARAMJOT KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2011
Last Update Date: 08/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6071 W OUTER DR
DETROIT MI
48235-2624
US

IV. Provider business mailing address

1856 COOLIDGE HWY APT 110
TROY MI
48084-3609
US

V. Phone/Fax

Practice location:
  • Phone: 313-966-3250
  • Fax:
Mailing address:
  • Phone: 216-357-1733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301099443
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: