Provider Demographics
NPI:1083501498
Name:SAHOTA, KIRANDEEP K (FNP-BC, FNP-C)
Entity type:Individual
Prefix:
First Name:KIRANDEEP
Middle Name:K
Last Name:SAHOTA
Suffix:
Gender:F
Credentials:FNP-BC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 BRAZIL AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-5801
Mailing Address - Country:US
Mailing Address - Phone:650-651-6579
Mailing Address - Fax:
Practice Address - Street 1:500 W MONROE ST STE 1300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60661-3704
Practice Address - Country:US
Practice Address - Phone:650-651-6579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95035596363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily