Provider Demographics
NPI:1801192448
Name:MAHARAJ, SHEENA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEENA
Middle Name:
Last Name:MAHARAJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1451 SECRET RAVINE PKWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661
Mailing Address - Country:US
Mailing Address - Phone:916-453-8696
Mailing Address - Fax:916-453-8715
Practice Address - Street 1:5609 J STREET
Practice Address - Street 2:SUITE C
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819
Practice Address - Country:US
Practice Address - Phone:916-453-8696
Practice Address - Fax:916-453-8715
Is Sole Proprietor?:No
Enumeration Date:2011-01-30
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA113986208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics