=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952861205
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAMALMEET KAUR MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/22/2019
-----------------------------------------------------
Last Update Date | 02/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7053 N CEDAR AVE
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93720-3324
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-369-7787
-----------------------------------------------------
Fax | 559-753-8188
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7053 N CEDAR AVE
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93720-3324
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-369-7787
-----------------------------------------------------
Fax | 559-753-8188
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 178715
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------