Individual
MANJIT KAUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
301 SATORI PKWY STE 150, AVON, IN 46123-6408
(317) 456-9028
(317) 386-5520
Mailing address
301 SATORI PKWY STE 150, AVON, IN 46123-6408
(317) 456-9028
(317) 386-5520
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
07001209A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201300610
—
IN
01
—
265130034
MEDICARE
IN
Enumeration date
06/07/2012
Last updated
03/19/2021
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