Provider Demographics
NPI:1427638998
Name:BOPARAI, KIRAT KAUR (DO)
Entity type:Individual
Prefix:
First Name:KIRAT
Middle Name:KAUR
Last Name:BOPARAI
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:44250 DEQUINDRE ROAD
Mailing Address - Street 2:FAMILY MEDICINE RESIDENCY
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314
Mailing Address - Country:US
Mailing Address - Phone:248-964-0400
Mailing Address - Fax:248-964-0521
Practice Address - Street 1:44250 DEQUINDRE ROAD
Practice Address - Street 2:FAMILY MEDICINE RESIDENCY
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314
Practice Address - Country:US
Practice Address - Phone:248-964-0400
Practice Address - Fax:248-964-0521
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5151014806207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine