Provider Demographics
NPI:1487160933
Name:KAUR, HARDEEP (CRNP)
Entity type:Individual
Prefix:
First Name:HARDEEP
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 MARKET ST FL 19
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-2926
Mailing Address - Country:US
Mailing Address - Phone:215-481-6836
Mailing Address - Fax:
Practice Address - Street 1:9821 ACADEMY RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1545
Practice Address - Country:US
Practice Address - Phone:215-632-8700
Practice Address - Fax:215-632-7865
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-20
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018344207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine