Prem K Kathuria PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN8196 Issued in FL

Legal business name

PREM K KATHURIA PA

Doing business as

Prem K Kathuria PA

Practice address

1670 S Hwy 17 92
Longwood, FL 32750-6516

Phone

(407) 339-4700

Fax

(407) 339-7736

NPI assigned

Jul 15, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Prem K Kathuria, B.D.S.

Title

Dentist

Phone

(407) 339-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prem K Kathuria PA Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1922449214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 S HWY 17 92",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506516",
            "telephone_number": "407-339-4700",
            "fax_number": "407-339-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 S HWY 17 92",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506516",
            "telephone_number": "407-339-4700",
            "fax_number": "407-339-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREM K KATHURIA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "KATHURIA",
        "authorized_official_first_name": "PREM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "407-339-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN8196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074725400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prem K Kathuria PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Longwood, FL
• Providers in Longwood, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.