Provider Demographics
NPI:1215458443
Name:KAUR, JASPREET (DO)
Entity type:Individual
Prefix:
First Name:JASPREET
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:4900 BROAD RD
Mailing Address - Street 2:POB NORTH SUITE 3M
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13215
Mailing Address - Country:US
Mailing Address - Phone:315-492-3400
Mailing Address - Fax:315-464-7106
Practice Address - Street 1:4900 BROAD RD
Practice Address - Street 2:POB NORTH SUITE 3M
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13215
Practice Address - Country:US
Practice Address - Phone:315-492-3400
Practice Address - Fax:315-464-7106
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2025-07-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY335624207Q00000X
OK6930207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine