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Individual

PRIMAL P KAUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MBA

Contact information

Practice address
14445 OLIVE VIEW DRIVE, 2B-182 DEPT OF MEDICINE, SYLMAR, CA 91342
(818) 364-3205
(818) 364-4573
Mailing address
14445 OLIVE VIEW DRIVE, 2B-182 DEPT OF MEDICINE, SYLMAR, CA 91342
(818) 364-3205
(818) 364-4573

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A109631
CA
207RR0500X
Rheumatology Physician
MD419636
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011202110001
PA
Enumeration date
10/13/2005
Last updated
11/11/2010
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