Provider Demographics
NPI:1174743165
Name:BAINS, HARPREET TOOR (MD)
Entity type:Individual
Prefix:DR
First Name:HARPREET
Middle Name:TOOR
Last Name:BAINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HARPREET TOOR
Other - Middle Name:
Other - Last Name:BAINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:10470 OLD PLACERVILLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:800-470-0071
Mailing Address - Fax:
Practice Address - Street 1:1590 POOLE BLVD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-2607
Practice Address - Country:US
Practice Address - Phone:530-751-1800
Practice Address - Fax:530-751-3901
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105232207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00822662OtherRAILROAD MEDICARE
CA1174743165Medicaid
CA1174743165Medicaid
CA1174743165Medicaid