Provider Demographics
NPI:1558415000
Name:KARANJAWALA, ZARIR ERUCH (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ZARIR
Middle Name:ERUCH
Last Name:KARANJAWALA
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 C STREET
Mailing Address - Street 2:SUITE 200-E
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-3302
Mailing Address - Country:US
Mailing Address - Phone:916-447-6267
Mailing Address - Fax:916-456-5842
Practice Address - Street 1:3301 C STREET
Practice Address - Street 2:SUITE 200-E
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3302
Practice Address - Country:US
Practice Address - Phone:916-447-6267
Practice Address - Fax:916-456-5842
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA109519174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACM874UOtherMEDICARE PTAN / LOCATION ZZZ92154Z
CACM874TOtherMEDICARE PTAN / LOCATION ZZZ92153Z
CACM874VOtherMEDICARE PTAN / LOCATION ZZZ92152Z
CACM874XOtherMEDICARE PTAN / LOCATION ZZZ92155Z
CACM874YOtherMEDICARE PTAN / LOCATION ZZZ92122Z
CACM874ZOtherMEDICARE PTAN /LOCATION ZZZ36380Z
CACM874SOtherMEDICARE PTAN / LOCATION ZZZ31925Z