Provider Demographics
NPI:1871125005
Name:SAHOTA, GURSHARN KAUR
Entity type:Individual
Prefix:
First Name:GURSHARN
Middle Name:KAUR
Last Name:SAHOTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6671 E DAYTON AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-9137
Mailing Address - Country:US
Mailing Address - Phone:209-482-5443
Mailing Address - Fax:
Practice Address - Street 1:6671 E DAYTON AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-9137
Practice Address - Country:US
Practice Address - Phone:209-482-5443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical