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1417477191 NPI number — KIRANJEET KAUR SRAN OD

NPI Number: 1417477191
Health Care Provider/Practitioner: KIRANJEET KAUR SRAN OD

Information about “1417477191” NPI (KIRANJEET KAUR SRAN OD) exists in 1417477191 in HTML format HTML  |  1417477191 in plain Text format TXT  |  1417477191 in PDF (Portable Document Format) PDF  |  1417477191 in an XML format XML  formats.

NPI Number : 1417477191 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417477191",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SRAN",
    "FirstName": "KIRANJEET",
    "MiddleName": "KAUR",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "45 GAZANIA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OLD BRIDGE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08857-6775",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "908-227-1674",
    "MailingAddressFaxNumber": "732-399-6564",
    "FirstLinePracticeLocationAddress": "325 PROMENADE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRIDGEWATER",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08807-3457",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-898-2398",
    "PracticeLocationAddressFaxNumber": "732-399-6564",
    "EnumerationDate": "06/22/2017",
    "LastUpdateDate": "06/12/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "008602",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "27OA00678500",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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