Provider Demographics
NPI:1497495352
Name:AUJLA, NAVPREET
Entity Type:Individual
Prefix:
First Name:NAVPREET
Middle Name:
Last Name:AUJLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9632 PEWTER CT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-4465
Mailing Address - Country:US
Mailing Address - Phone:916-212-4413
Mailing Address - Fax:
Practice Address - Street 1:1420 W KETTLEMAN LN
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95242-4557
Practice Address - Country:US
Practice Address - Phone:209-368-0619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant