Provider Demographics
NPI:1952072563
Name:SIHOTA, GAGANDEEP KAUR (PHARMD)
Entity Type:Individual
Prefix:
First Name:GAGANDEEP
Middle Name:KAUR
Last Name:SIHOTA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3180 OAK RD APT 214
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-7761
Mailing Address - Country:US
Mailing Address - Phone:760-866-2357
Mailing Address - Fax:
Practice Address - Street 1:3180 OAK RD APT 214
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-7761
Practice Address - Country:US
Practice Address - Phone:760-688-2357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85303183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist