Healthcare Provider Details

I. General information

NPI: 1619436623
Provider Name (Legal Business Name): RAMANPREET KAUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RAMANPREET KAUR

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 MIDDLE COUNTRY RD
CORAM NY
11727-4460
US

IV. Provider business mailing address

4910 VALLEY VIEW BLVD NW FL 3
ROANOKE VA
24012-2040
US

V. Phone/Fax

Practice location:
  • Phone: 631-320-2220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number318623
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: