Provider Demographics
NPI:1457728396
Name:NARURKAR, ROSHNI
Entity Type:Individual
Prefix:
First Name:ROSHNI
Middle Name:
Last Name:NARURKAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11175 CAMPUS STREET, CSP-11015
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92350-1785
Mailing Address - Country:US
Mailing Address - Phone:909-558-4910
Mailing Address - Fax:
Practice Address - Street 1:11175 CAMPUS STREET CSP-11015
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92350-2509
Practice Address - Country:US
Practice Address - Phone:909-558-4910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-26
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35141408207RH0003X
390200000X
CAA173738207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program