Provider Demographics
NPI:1972697597
Name:TAKHER, RAMANDEEP K (OD)
Entity Type:Individual
Prefix:DR
First Name:RAMANDEEP
Middle Name:K
Last Name:TAKHER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 LIVE OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-3415
Mailing Address - Country:US
Mailing Address - Phone:530-671-1740
Mailing Address - Fax:530-671-1380
Practice Address - Street 1:1050 LIVE OAK BLVD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3415
Practice Address - Country:US
Practice Address - Phone:530-671-1740
Practice Address - Fax:530-671-1380
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3814TX152W00000X
CA13226T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB40181Medicare ID - Type Unspecified
WAU97493Medicare UPIN