Provider Demographics
NPI:1538258454
Name:KAUR, HARSOHENA (MD)
Entity type:Individual
Prefix:
First Name:HARSOHENA
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 LOUISE DR
Mailing Address - Street 2:
Mailing Address - City:MILLTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08850-2176
Mailing Address - Country:US
Mailing Address - Phone:732-821-1578
Mailing Address - Fax:
Practice Address - Street 1:254 EASTON AVE
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1766
Practice Address - Country:US
Practice Address - Phone:732-745-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09690400208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
1046265OtherPREFERRED ONE
182478OtherU CARE
2422946OtherARAZ
MT0150631Medicaid
WI34822500Medicaid
IA0715060Medicaid
HP59656OtherHEALTH PARTNERS
MN12-09026OtherMEDICA-PRIMARY
722T2KAOtherBCBS
MNB706OtherCHAMPUS
MN031685700Medicaid
MN12-03550OtherMEDICA
MT0150631Medicaid