Provider Demographics
NPI:1851380992
Name:KAJANI, SIKANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:SIKANDER
Middle Name:
Last Name:KAJANI
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 1:18350 ROSCOE BLVD
Mailing Address - Street 2:SUITE # 218
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4109
Mailing Address - Country:US
Mailing Address - Phone:818-993-6660
Mailing Address - Fax:818-993-8158
Practice Address - Street 1:18350 ROSCOE BLVD
Practice Address - Street 2:SUITE # 218
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4109
Practice Address - Country:US
Practice Address - Phone:818-993-6660
Practice Address - Fax:818-993-8158
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA044729207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A447290Medicaid
CA00A447290Medicaid