Provider Demographics
NPI:1013271600
Name:GOSAIN, RAJAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJAN
Middle Name:
Last Name:GOSAIN
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 1:4140 DE MILLE DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95117-3101
Mailing Address - Country:US
Mailing Address - Phone:510-648-4879
Mailing Address - Fax:
Practice Address - Street 1:10419 OLD PLACERVILLE RD STE 252
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2527
Practice Address - Country:US
Practice Address - Phone:916-694-0555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2524782084P0800X
CAA1322332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry