Provider Demographics
NPI:1205146453
Name:RAHAL, SIMRITA KAUR (MD)
Entity type:Individual
Prefix:MRS
First Name:SIMRITA
Middle Name:KAUR
Last Name:RAHAL
Suffix:
Gender:F
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:P.O. BOX 21873
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-1873
Mailing Address - Country:US
Mailing Address - Phone:661-323-1200
Mailing Address - Fax:661-323-1204
Practice Address - Street 1:9802 STOCKDALE HWY STE 102
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3653
Practice Address - Country:US
Practice Address - Phone:661-323-1200
Practice Address - Fax:661-323-1204
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60128207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology