Provider Demographics
NPI:1568793495
Name:MOHALI INC.
Entity Type:Organization
Organization Name:MOHALI INC.
Other - Org Name:ELK GROVE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NARINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-688-8888
Mailing Address - Street 1:8191 TIMBERLAKE WAY
Mailing Address - Street 2:STE 400
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5418
Mailing Address - Country:US
Mailing Address - Phone:916-688-8888
Mailing Address - Fax:916-688-8837
Practice Address - Street 1:8191 TIMBERLAKE WAY
Practice Address - Street 2:STE 400
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5418
Practice Address - Country:US
Practice Address - Phone:916-688-8888
Practice Address - Fax:916-688-8837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA056411207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADH431ZMedicare UPIN