MEDICARE: DR. HARPAL KAUR BRAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A84459	CA

General Provider Information

NPI Number	:	1194973545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARPAL KAUR BRAR MD

Provider Business Mailing Address
First Line	:	2339 W CLEVELAND AVE
Second Line	:	SIUTE 101
City	:	MADERA
State	:	CA
Zip	:	93637-8753
Country	:	US
Telephone Number	:	559-675-9400
Fax Number	:	559-675-9404

Provider Business Practice Location Address
First Line	:	2339 W CLEVELAND AVE
Second Line	:	SIUTE 101
City	:	MADERA
State	:	CA
Zip	:	93637-8753
Country	:	US
Telephone Number	:	559-675-9400
Fax Number	:	559-675-9404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2008
Last Update Date	:	08/28/2008

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