Basic Information
| Provider Information | |||||||||
| NPI: | 1558415000 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KARANJAWALA | ||||||||
| FirstName: | ZARIR | ||||||||
| MiddleName: | ERUCH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D., PH.D. | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 3301 C STREET | ||||||||
| Address2: | SUITE 200-E | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958163302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9164476267 | ||||||||
| FaxNumber: | 9164565842 | ||||||||
| Practice Location | |||||||||
| Address1: | 3301 C STREET | ||||||||
| Address2: | SUITE 200-E | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958163302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9164476267 | ||||||||
| FaxNumber: | 9164565842 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/22/2007 | ||||||||
| LastUpdateDate: | 12/10/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | A109519 | CA | Y | Other Service Providers | Specialist |
ID Information
| ID | Type | State | Issuer | Description | CM874U | 01 | CA | MEDICARE PTAN / LOCATION ZZZ92154Z | OTHER | CM874T | 01 | CA | MEDICARE PTAN / LOCATION ZZZ92153Z | OTHER | CM874V | 01 | CA | MEDICARE PTAN / LOCATION ZZZ92152Z | OTHER | CM874X | 01 | CA | MEDICARE PTAN / LOCATION ZZZ92155Z | OTHER | CM874Y | 01 | CA | MEDICARE PTAN / LOCATION ZZZ92122Z | OTHER | CM874Z | 01 | CA | MEDICARE PTAN /LOCATION ZZZ36380Z | OTHER | CM874S | 01 | CA | MEDICARE PTAN / LOCATION ZZZ31925Z | OTHER |