Active NPIIndividual providerSole proprietor

Jaskaran Ghotraa, DO

Student in an Organized Health Care Education/Training Program in Mount Kisco, New York

NPI Number1154124709
Practice location
400 E Main St, Mount Kisco, NY 10549-3417
Fax
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Last updated
June 23, 2025

Jaskaran Ghotraa is a Student in an Organized Health Care Education/Training Program based in Mount Kisco, NY. Jaskaran Ghotraa practices in Mount Kisco, NY and has the professional credentials of DO. The NPI Number for Jaskaran Ghotraa is 1154124709. The current practice location address for Jaskaran Ghotraa is 400 E Main St, Mount Kisco, NY 10549-3417 and can be reached out via phone at 914-666-1931.

Provider Profile Details

NPI Number
1154124709
Provider Name
Jaskaran Ghotraa
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
400 E Main St, Mount Kisco, NY 10549-3417
Phone Number
914-666-1931
Sole Proprietor
Yes
Provider Enumeration Date
March 29, 2025
Last Update Date
June 23, 2025
Certification Date
June 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 E Main St
Mount Kisco, NY 10549-3417
Zip
10549-3417
Phone Number
914-666-1931
Mount Kisco, NY 10549Get directions →

Provider Business Mailing Address Details

Address
400 E Main St
Mount Kisco, NY 10549-3477
City
Mount Kisco
State
NY
Zip
10549-3477

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jaskaran Ghotraa, DO?

The NPI number of Jaskaran Ghotraa, DO is 1154124709. It was assigned on March 29, 2025 and is currently active in the NPPES registry.

What is the specialty of Jaskaran Ghotraa, DO?

Jaskaran Ghotraa, DO is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Jaskaran Ghotraa, DO practice?

The practice location is 400 E Main St, Mount Kisco, NY 10549-3417. The office can be reached at 914-666-1931 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154124709 directly on the NPPES registry website.

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