Doctor Name: | SIMERJIT KAUR RIAR |
NPI Number: | 1154518363 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | PA19328 |
Business Practice Address: | 2511 Logan St Selma, CA - 936623012 |
Business Phone Number: | 5598962624 |
Business Fax Number: | 5598963235 |
Mailing Address: | 2511 Logan St, SELMA |
State: | CA |
Postal Code: | 936623012 |
Phone Number: | 5598962624 |
Fax Number: | 5598963235 |
NPI Enumeration Date: | 10/02/2007 |
NPI Last Update Date: | 10/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA19328 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |