Provider Demographics
NPI:1215479514
Name:KAUR, JASVIR
Entity type:Individual
Prefix:
First Name:JASVIR
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8989 COTSWOLD DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-1655
Mailing Address - Country:US
Mailing Address - Phone:703-348-7684
Mailing Address - Fax:703-323-4914
Practice Address - Street 1:8989 COTSWOLD DR
Practice Address - Street 2:SUITE 7
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-1655
Practice Address - Country:US
Practice Address - Phone:703-348-7684
Practice Address - Fax:703-323-4914
Is Sole Proprietor?:No
Enumeration Date:2016-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA812490219171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator