Provider Demographics
NPI:1407021918
Name:ATTRI, NAVNEET (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVNEET
Middle Name:
Last Name:ATTRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NAVNEET
Other - Middle Name:KAUR
Other - Last Name:MAVI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3883 AIRWAY DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-1670
Mailing Address - Country:US
Mailing Address - Phone:707-521-8841
Mailing Address - Fax:
Practice Address - Street 1:3883 AIRWAY DR
Practice Address - Street 2:SUITE 201
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-1670
Practice Address - Country:US
Practice Address - Phone:707-521-8841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125050601207R00000X
CAA107672207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABZ087ZMedicare UPIN
CACMS-855IMedicare PIN