Provider Demographics
NPI:1942531066
Name:SOHAL, JEETINDER SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:JEETINDER
Middle Name:SINGH
Last Name:SOHAL
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:PO BOX 5040
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-0040
Mailing Address - Country:US
Mailing Address - Phone:530-533-8500
Mailing Address - Fax:530-532-8370
Practice Address - Street 1:2809 OLIVE HWY STE 220
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6133
Practice Address - Country:US
Practice Address - Phone:530-532-8181
Practice Address - Fax:530-538-8083
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA110878207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A1108780OtherBLUE SHIELD PIN #
CA1942531066Medicaid