Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | A75198 | CA |
N | 207R00000X | Internist | A75198 | CA |
N | 111NI0900X | Internist | A75198 | CA |
N | 207RI0200X | Infectious Disease | A75198 | CA |
NPI | 1003871161 |
---|---|
Provider Name | Dr. Sukhjit Singh Takhar |
First Address | Fresno, CA 93721-1431 |
Second Address | Fresno, CA 93721-1324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 27/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A751980 | (05) | CA |
930117624 | RAILROAD (01) | CA |
H61513 | (02) | CA |