Individual
BAKSHANDER KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2505 W HAMMER LN, STOCKTON, CA 95209-2839
(209) 521-6452
Mailing address
2505 W HAMMER LN, STOCKTON, CA 95209-2839
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A193539
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2018
Last updated
02/12/2024
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