Individual
DR. KANWALDEEP KAUR RASILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2702 LOW CT, FAIRFIELD, CA 94534-9771
(707) 427-4900
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C54884
CA
207RH0003X
Hematology & Oncology Physician
MD2005-0710
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85624713
—
NM
Enumeration date
05/03/2007
Last updated
10/09/2024
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