Provider Demographics
NPI:1811634710
Name:KAUR & BHATIA PLLC
Entity type:Organization
Organization Name:KAUR & BHATIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SANJEEV
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-559-1015
Mailing Address - Street 1:44345 PREMIER PLZ STE 220
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5054
Mailing Address - Country:US
Mailing Address - Phone:703-729-6222
Mailing Address - Fax:
Practice Address - Street 1:44345 PREMIER PLZ STE 220
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5054
Practice Address - Country:US
Practice Address - Phone:703-729-6222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental