| Amandeep Kaur, M.d., P.a. | |
|
401 N Valley Pkwy Ste 380 Lewisville TX 75067-3472 | |
| (469) 904-6428 | |
| (469) 904-6428 |
| Full Name | Amandeep Kaur, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 401 N Valley Pkwy Ste 380, Lewisville, Texas |
| Authorized Official Name and Position | Amandeep Kaur (OWNER) |
| Authorized Official Contact | 8329789721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amandeep Kaur, M.d., P.a. Po Box 560781 The Colony TX 75056-0781 Ph: (832) 978-9721 | Amandeep Kaur, M.d., P.a. 401 N Valley Pkwy Ste 380 Lewisville TX 75067-3472 Ph: (469) 904-6428 |
| NPI Number | 1508377730 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 06/25/2021 |
| Medicare PECOS PAC ID | 0749542264 |
|---|---|
| Medicare Enrollment ID | O20180321002549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508377730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Amandeep Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740500289 PECOS PAC ID: 0648423723 Enrollment ID: I20140326000639 |
| Provider Name | Kaustubh Sudhir Mestry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558527747 PECOS PAC ID: 5496928236 Enrollment ID: I20150327000304 |
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