Provider Demographics
NPI:1689658098
Name:UPPAL, RAJVIR KAUR (MBBS)
Entity Type:Individual
Prefix:DR
First Name:RAJVIR
Middle Name:KAUR
Last Name:UPPAL
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5342 DUDLEY BLVD
Mailing Address - Street 2:BUILDING # 98
Mailing Address - City:MCCLELLAN
Mailing Address - State:CA
Mailing Address - Zip Code:95652-1012
Mailing Address - Country:US
Mailing Address - Phone:916-561-7400
Mailing Address - Fax:916-561-7405
Practice Address - Street 1:701 SAN MIGUEL WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-2723
Practice Address - Country:US
Practice Address - Phone:916-709-4049
Practice Address - Fax:916-456-5661
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA73290207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine