Individual
JASLEEN KOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 GODWIN BLVD, SUFFOLK, VA 23434-8038
(757) 967-8622
(757) 686-0541
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 967-8622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101281398
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
06/22/2021
Last updated
08/05/2024
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