Basic Information
Provider Information
NPI: 1164472759
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OSWAL
FirstName: HEMLATA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 340850
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958340850
CountryCode: US
TelephoneNumber: 9166347767
FaxNumber: 9166721524
Practice Location
Address1: 1650 CREEKSIDE DRIVE
Address2: DEPT. OF PATHOLOGY
City: FOLSOM
State: CA
PostalCode: 956303400
CountryCode: US
TelephoneNumber: 9169837458
FaxNumber: 9166721524
Other Information
ProviderEnumerationDate: 05/12/2006
LastUpdateDate: 01/30/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/30/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000XA86903CAY Other Service ProvidersSpecialist 

No ID Information.


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