Provider Demographics
NPI:1932125135
Name:PADAM, GURPREET K (MD)
Entity type:Individual
Prefix:DR
First Name:GURPREET
Middle Name:K
Last Name:PADAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 S SAN MATEO DR STE 106
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3840
Mailing Address - Country:US
Mailing Address - Phone:650-360-9309
Mailing Address - Fax:
Practice Address - Street 1:101 S SAN MATEO DR STE 106
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3840
Practice Address - Country:US
Practice Address - Phone:650-360-9309
Practice Address - Fax:650-360-0781
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA88960207Q00000X, 207QH0002X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine