Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | A73224 | CA |
NPI | 1346222197 |
---|---|
Provider Name | Dr. Sanjay Jhawar |
First Address | Sacramento, CA 95817-2208 |
Second Address | Sacramento, CA 95817-2201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2005 |
Last Update Date | 30/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G62332 | (02) | CA |
GRW021042 | MEDI-CAL (01) | CA |