Individual
REENA PARMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4791 GRANITE DR, ROCKLIN, CA 95677-2853
(916) 461-4455
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
54671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00106W
MDCR GRP PTAN
TX
01
—
0035TD
BCBSTX GRP PROV REC #
TX
01
—
153449704
MDCD TPI GRP #
TX
05
—
347307601
—
TX
Enumeration date
05/01/2015
Last updated
05/05/2025
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