Provider Demographics
NPI:1003378118
Name:DHANJAL, JASPREET SINGH (DO)
Entity Type:Individual
Prefix:MR
First Name:JASPREET
Middle Name:SINGH
Last Name:DHANJAL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2235 DOUGLAS BLVD
Mailing Address - Street 2:STE. 510
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661
Mailing Address - Country:US
Mailing Address - Phone:916-446-4449
Mailing Address - Fax:916-446-4370
Practice Address - Street 1:2235 DOUGLAS BLVD STE 510
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4266
Practice Address - Country:US
Practice Address - Phone:916-446-4449
Practice Address - Fax:916-446-4370
Is Sole Proprietor?:No
Enumeration Date:2019-04-05
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A20253207R00000X
CA20AZ20253207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine