Provider Demographics
NPI:1811259203
Name:JANAKIRAMAN, NEHA VENKATESH (MD,)
Entity type:Individual
Prefix:DR
First Name:NEHA
Middle Name:VENKATESH
Last Name:JANAKIRAMAN
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:DR
Other - First Name:NEHA
Other - Middle Name:
Other - Last Name:BHUREWAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD,
Mailing Address - Street 1:2750 GATEWAY OAKS DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-3661
Mailing Address - Country:US
Mailing Address - Phone:916-887-7398
Mailing Address - Fax:
Practice Address - Street 1:1020 29TH ST
Practice Address - Street 2:SUITE 480
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5125
Practice Address - Country:US
Practice Address - Phone:916-733-3777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT201986390200000X
CAA141994207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program