Provider Demographics
NPI:1093044570
Name:AMARJIT S DOSANJH MD A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:AMARJIT S DOSANJH MD A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:AMARJIT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:DOSANJH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-758-7462
Mailing Address - Street 1:3065 RICHMOND PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94806-5719
Mailing Address - Country:US
Mailing Address - Phone:510-758-7462
Mailing Address - Fax:510-758-7454
Practice Address - Street 1:3065 RICHMOND PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94806-5719
Practice Address - Country:US
Practice Address - Phone:510-758-7462
Practice Address - Fax:510-758-7454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-13
Last Update Date:2009-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA86528208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty