Healthcare Provider Details

I. General information

NPI: 1467297069
Provider Name (Legal Business Name): DR. KAVNEET KAUR PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 WEISS RD
UPPER SADDLE RIVER NJ
07458-1323
US

IV. Provider business mailing address

39 WEISS RD
UPPER SADDLE RIVER NJ
07458-1323
US

V. Phone/Fax

Practice location:
  • Phone: 914-374-1750
  • Fax:
Mailing address:
  • Phone: 914-374-1750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number
License Number State

VIII. Authorized Official

Name: KAVNEET KAUR
Title or Position: AUTHORIZED OFFICIAL/OWNER
Credential: MD
Phone: 914-610-6916