Provider Demographics
NPI:1366495145
Name:NORTHCAL HEMATOLOGY ONCOLOGY INC
Entity Type:Organization
Organization Name:NORTHCAL HEMATOLOGY ONCOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GURVINDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHAHEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-888-9907
Mailing Address - Street 1:11795 EDUCATION ST
Mailing Address - Street 2:STE 220
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-2469
Mailing Address - Country:US
Mailing Address - Phone:530-888-9907
Mailing Address - Fax:530-888-9903
Practice Address - Street 1:11795 EDUCATION ST
Practice Address - Street 2:STE 220
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-2469
Practice Address - Country:US
Practice Address - Phone:530-888-9907
Practice Address - Fax:530-888-9903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA67842207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ02645ZMedicare PIN