Provider Demographics
NPI:1003404757
Name:MAAN, HARJINDER S
Entity Type:Individual
Prefix:
First Name:HARJINDER
Middle Name:S
Last Name:MAAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3764 S WALTON AVE
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-9229
Mailing Address - Country:US
Mailing Address - Phone:530-845-3742
Mailing Address - Fax:
Practice Address - Street 1:3764 S WALTON AVE
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-9229
Practice Address - Country:US
Practice Address - Phone:530-845-3742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver