Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Komaldeep Ghotra

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962196535

Komaldeep Ghotra is a Student in an Organized Health Care Education/Training Program in Birmingham, Alabama. Licensed in Alabama. Registered with an NPI since 2023.

Licensed in
AL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1919 7th Ave S
Birmingham, AL 35233-2005
Phone: (205) 934-3387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D.007359-C1 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962196535
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2023
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024

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