Healthcare Provider Details

I. General information

NPI: 1740213982
Provider Name (Legal Business Name): RUPINDER D KAUR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 12/16/2020
Certification Date: 12/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 BATTLEGROUND AVE STE 100
GREENSBORO NC
27410-2447
US

IV. Provider business mailing address

3300 BATTLEGROUND AVE STE 100
GREENSBORO NC
27410-2447
US

V. Phone/Fax

Practice location:
  • Phone: 336-645-9555
  • Fax: 336-282-0907
Mailing address:
  • Phone: 336-645-9555
  • Fax: 336-282-0907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number95-00966
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number9500966
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: