Provider Demographics
NPI:1760498281
Name:SAHOTA, HARVINDER (MD)
Entity Type:Individual
Prefix:
First Name:HARVINDER
Middle Name:
Last Name:SAHOTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9810 PARK ST
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5936
Mailing Address - Country:US
Mailing Address - Phone:562-804-3481
Mailing Address - Fax:562-925-1437
Practice Address - Street 1:9810 PARK ST
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5936
Practice Address - Country:US
Practice Address - Phone:562-804-3481
Practice Address - Fax:562-925-1437
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA30942207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA309420Medicaid
A26286Medicare UPIN