Individual
GIRISHA KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4475 S EASTERN AVE, LAS VEGAS, NV 89119-7826
(702) 737-1880
(702) 650-2458
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 737-1880
(702) 650-2458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16042
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619238748
SMA MEDICAID
NV
05
—
7100262410
—
KY
01
—
V111262
SMA MEDICARE
NV
Enumeration date
06/05/2012
Last updated
01/17/2017
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