MEDICARE: SHARANPREET KAUR

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	34.015358	OH
3	207R00000X	Internal Medicine Physician	20A17309	CA

General Provider Information

NPI Number	:	1366977233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARANPREET KAUR

Provider Business Mailing Address
First Line	:	10201 CARNEGIE AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2130
Country	:	US
Telephone Number	:	866-223-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	5426 CARLS CT
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95123-2143
Country	:	US
Telephone Number	:	408-705-8450
Fax Number	:

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

Provider Enumeration Date	:	04/27/2017
Last Update Date	:	09/16/2021

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Directions to “ SHARANPREET KAUR ” Practice Location

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