Provider Demographics
NPI:1366754541
Name:SANGHA, RAJBEER (MD)
Entity type:Individual
Prefix:
First Name:RAJBEER
Middle Name:
Last Name:SANGHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1805 N CALIFORNIA ST STE 201
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95204-6032
Mailing Address - Country:US
Mailing Address - Phone:209-645-3771
Mailing Address - Fax:209-645-6344
Practice Address - Street 1:1800 N CALIFORNIA ST # 201
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95204-6019
Practice Address - Country:US
Practice Address - Phone:209-645-4005
Practice Address - Fax:209-645-6344
Is Sole Proprietor?:No
Enumeration Date:2010-07-05
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC1796722084V0102X
AL35620207LC0200X, 2084N0400X, 2084V0102X
CT0702442084N0400X, 2084V0102X
IL0361376382084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology