Provider Demographics
NPI:1417120783
Name:GARCHA, KHUSHWINDER SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:KHUSHWINDER
Middle Name:SINGH
Last Name:GARCHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KHUSHWINDER
Other - Middle Name:
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:588 N SUNRISE AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-2843
Mailing Address - Country:US
Mailing Address - Phone:916-781-9885
Mailing Address - Fax:916-781-7923
Practice Address - Street 1:588 N SUNRISE AVE STE 120
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-2843
Practice Address - Country:US
Practice Address - Phone:916-781-9885
Practice Address - Fax:916-781-7923
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-08
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301093547208M00000X
AZ44756208M00000X
CAA121889208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist