Provider Demographics
NPI:1467884817
Name:SANGHERA, KAREN MOHAR (OD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MOHAR
Last Name:SANGHERA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:MOHAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1791 BURGANDY DR
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-8331
Mailing Address - Country:US
Mailing Address - Phone:530-300-1348
Mailing Address - Fax:
Practice Address - Street 1:1360 E HERNDON AVE
Practice Address - Street 2:STE 401
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3326
Practice Address - Country:US
Practice Address - Phone:559-449-5010
Practice Address - Fax:559-449-5014
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI21414-875152W00000X
CA14746152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA125250OtherPTAN
CA125251OtherPTAN
CA125253OtherPTAN
CA125254OtherPTAN
CA125252OtherPTAN