Provider Demographics
NPI:1013940865
Name:SAHOTA, PREETRANJAN K (MD)
Entity Type:Individual
Prefix:DR
First Name:PREETRANJAN
Middle Name:K
Last Name:SAHOTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PREETRANJAN
Other - Middle Name:K
Other - Last Name:SIDHU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:430 BENTON CT
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-9560
Mailing Address - Country:US
Mailing Address - Phone:916-983-0999
Mailing Address - Fax:916-983-1717
Practice Address - Street 1:2545 E BIDWELL ST
Practice Address - Street 2:SUITE # 110
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-6440
Practice Address - Country:US
Practice Address - Phone:916-983-0999
Practice Address - Fax:916-983-1717
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 85818207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI 02777Medicare UPIN