Provider Demographics
NPI:1033901020
Name:DAODA, BHAGWANTPAL KAUR (RN)
Entity type:Individual
Prefix:MRS
First Name:BHAGWANTPAL
Middle Name:KAUR
Last Name:DAODA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20649 AGNES LN
Mailing Address - Street 2:
Mailing Address - City:CHERRYLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94541-1801
Mailing Address - Country:US
Mailing Address - Phone:510-213-4720
Mailing Address - Fax:
Practice Address - Street 1:494 BLOSSOM WAY
Practice Address - Street 2:
Practice Address - City:CHERRYLAND
Practice Address - State:CA
Practice Address - Zip Code:94541-1948
Practice Address - Country:US
Practice Address - Phone:510-582-7676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95404559163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse