Provider Demographics
NPI:1568512432
Name:REEN, RANJIT KAUR (MD)
Entity Type:Individual
Prefix:
First Name:RANJIT
Middle Name:KAUR
Last Name:REEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 MOWRY AVE
Mailing Address - Street 2:101
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1722
Mailing Address - Country:US
Mailing Address - Phone:510-791-5500
Mailing Address - Fax:510-790-9456
Practice Address - Street 1:1900 MOWRY AVE
Practice Address - Street 2:101
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1722
Practice Address - Country:US
Practice Address - Phone:510-791-5500
Practice Address - Fax:510-790-9456
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52734207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A527340Medicaid
CA110132423OtherRAILROAD PROVIDER#
CA00A527340OtherBLUESIELD PROVIDER#
CA030157OtherHILL PHYSICIANS PROVIDER#
CA110132423OtherRAILROAD PROVIDER#
CA030157OtherHILL PHYSICIANS PROVIDER#