Individual
SUPREET KAUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2910 N 3RD AVE # 470, PHOENIX, AZ 85013-4434
(602) 406-6262
(602) 406-6261
Mailing address
2910 N 3RD AVE # 470, PHOENIX, AZ 85013-4434
(602) 406-6262
(602) 406-6261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN19097
FL
2084N0400X
Neurology Physician
55333
AZ
2084N0400X
Neurology Physician
ME132536
FL
2084V0102X
Vascular Neurology Physician
Primary
55333
AZ
Other
Enumeration date
07/03/2013
Last updated
05/27/2022
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