Provider Demographics
NPI:1922016062
Name:RANDHAWA, HARPREET (MD)
Entity Type:Individual
Prefix:
First Name:HARPREET
Middle Name:
Last Name:RANDHAWA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1162 LIVE OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-3407
Mailing Address - Country:US
Mailing Address - Phone:530-743-5428
Mailing Address - Fax:530-743-6091
Practice Address - Street 1:1162 LIVE OAK BLVD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3407
Practice Address - Country:US
Practice Address - Phone:530-743-5428
Practice Address - Fax:530-743-6091
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA84144207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A841442Medicare PIN
H92810Medicare UPIN