Healthcare Provider Details

I. General information

NPI: 1356288302
Provider Name (Legal Business Name): INDERJEET KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FAMILY MEDICINE CENTER 40 MEDICAL PARK SUITE 401
WHEELING WV
26003
US

IV. Provider business mailing address

FAMILY MEDICINE CENTER 40 MEDICAL PARK SUITE 401
WHEELING WV
26003
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-3880
  • Fax: 304-243-3895
Mailing address:
  • Phone: 304-243-3880
  • Fax: 304-243-3895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: