Provider Demographics
NPI:1457764235
Name:BAINS, SHARNDEEP KAUR (DO)
Entity Type:Individual
Prefix:DR
First Name:SHARNDEEP
Middle Name:KAUR
Last Name:BAINS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SHARNDEEP
Other - Middle Name:KAUR
Other - Last Name:CHIMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:444 PLUMAS BLVD
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-5071
Mailing Address - Country:US
Mailing Address - Phone:530-749-3420
Mailing Address - Fax:530-749-3469
Practice Address - Street 1:10470 OLD PLACERVILLE ROAD
Practice Address - Street 2:STE 100
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2539
Practice Address - Country:US
Practice Address - Phone:800-470-0071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A14725207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program