Provider Demographics
NPI:1235931312
Name:KOMAL PREET KAUR, FNU
Entity type:Individual
Prefix:
First Name:FNU
Middle Name:
Last Name:KOMAL PREET KAUR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85/2C VILLAGE BALLOKE, HAIBOWAL
Mailing Address - Street 2:
Mailing Address - City:LUDHIANA
Mailing Address - State:PUNJAB
Mailing Address - Zip Code:141001
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:301 W NOBLE AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-2633
Practice Address - Country:US
Practice Address - Phone:559-624-6875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program