Provider Demographics
NPI:1720564792
Name:BALHOTRA, KARMEN SINGH
Entity Type:Individual
Prefix:
First Name:KARMEN
Middle Name:SINGH
Last Name:BALHOTRA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3728 GOZO ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-7545
Mailing Address - Country:US
Mailing Address - Phone:510-599-5109
Mailing Address - Fax:
Practice Address - Street 1:3728 GOZO ISLAND AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-7545
Practice Address - Country:US
Practice Address - Phone:510-599-5109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst