Organization
CHANDAN DS CHEEMA MD INC
Active
Other names
Capital Medical Extended Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDAN DEEP SINGH CHEEMA MD (PRESIDENT)
(916) 241-9844
Entity
Organization
Contact information
Practice address
6608 MERCY CT STE B, FAIR OAKS, CA 95628-3171
(916) 241-9844
(916) 241-9845
Mailing address
6608 MERCY CT STE B, FAIR OAKS, CA 95628-3171
(916) 241-9844
(916) 241-9845
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00A47747
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ05271Z
GROUP PTAN
CA
Enumeration date
07/18/2007
Last updated
04/12/2021
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