Healthcare Provider Details

I. General information

NPI: 1477729002
Provider Name (Legal Business Name): BERNEET KAUR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BERNEET KAUR SINGH

II. Dates (important events)

Enumeration Date: 05/04/2008
Last Update Date: 01/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

979 E 3RD ST SUITE C-830
CHATTANOOGA TN
37403-2136
US

IV. Provider business mailing address

975 E 3RD ST ATTN: PROVIDER ENROLLMENT
CHATTANOOGA TN
37403-2147
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-9001
  • Fax: 423-778-4692
Mailing address:
  • Phone: 423-778-5630
  • Fax: 423-778-3146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number52981
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD.29079
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberM8755
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA105828
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number2013-01848
License Number StateNC
# 6
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number52981
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: