Provider Demographics
NPI:1073742102
Name:KAUR, KIRANDEEP (MD)
Entity type:Individual
Prefix:
First Name:KIRANDEEP
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9940 CRAIN HWY
Mailing Address - Street 2:
Mailing Address - City:FAULKNER
Mailing Address - State:MD
Mailing Address - Zip Code:20632-2104
Mailing Address - Country:US
Mailing Address - Phone:240-319-1388
Mailing Address - Fax:443-949-0825
Practice Address - Street 1:4255 ALTAMONT PL STE 203
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3024
Practice Address - Country:US
Practice Address - Phone:301-638-9505
Practice Address - Fax:301-705-8831
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-10
Last Update Date:2024-09-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD70900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD532115800Medicaid
MD185083YU6Medicare UPIN