Provider Demographics
NPI:1003455858
Name:RAJAN GOSAIN, M.D., INC.
Entity Type:Organization
Organization Name:RAJAN GOSAIN, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-694-0555
Mailing Address - Street 1:2443 FAIR OAKS BLVD # 177
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-7684
Mailing Address - Country:US
Mailing Address - Phone:916-694-0555
Mailing Address - Fax:
Practice Address - Street 1:10419 OLD PLACERVILLE RD STE 252
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2527
Practice Address - Country:US
Practice Address - Phone:408-463-6635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-26
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty