Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | A136116 | CA |
Y | 207ND0101X | MOHS-Micrographic Surgeon | A136116 | CA |
NPI | 1093004566 |
---|---|
Provider Name | Harjot Maan |
First Address | Sacramento, CA 95827-2539 |
Second Address | Yuba City, CA 95991 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2011 |
Last Update Date | 12/10/2020 |