Provider Demographics
NPI:1467607119
Name:RAI, RANVINDER K (MD)
Entity Type:Individual
Prefix:
First Name:RANVINDER
Middle Name:K
Last Name:RAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3841 N FREEWAY BLVD
Mailing Address - Street 2:120
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-1949
Mailing Address - Country:US
Mailing Address - Phone:916-576-7898
Mailing Address - Fax:916-285-0338
Practice Address - Street 1:1360 BESSIE AVE
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-3416
Practice Address - Country:US
Practice Address - Phone:209-833-3654
Practice Address - Fax:209-833-8754
Is Sole Proprietor?:No
Enumeration Date:2008-11-22
Last Update Date:2014-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1119692084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGN377ZMedicare PIN