Basic Information
Provider Information
NPI: 1962667204
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DANG
FirstName: NEHA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MBBS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10470 OLD PLACERVILLE RD STE 100
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958272539
CountryCode: US
TelephoneNumber: 8004700071
FaxNumber:  
Practice Location
Address1: 3100 DOUGLAS BLVD STE 200
Address2:  
City: ROSEVILLE
State: CA
PostalCode: 956613868
CountryCode: US
TelephoneNumber: 9167748384
FaxNumber: 9167748327
Other Information
ProviderEnumerationDate: 07/25/2008
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RR0500X269377NYN Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology
207RR0500XA151242CAY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology
207R00000XBP1-0031986TXN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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