=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699385476
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HARINDER KAUR DOSANJH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/05/2020
-----------------------------------------------------
Last Update Date | 04/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 517 S MADERA AVE
-----------------------------------------------------
City | KERMAN
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93630-1596
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-846-6330
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 517 S MADERA AVE
-----------------------------------------------------
City | KERMAN
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93630-1596
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-846-6330
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | FO7202135
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------