MEDICARE: DR. JEETINDER SINGH SOHAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	A110878	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A1108780	OTHER	CA	BLUE SHIELD PIN #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942531066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEETINDER SINGH SOHAL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 5040
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-0040
Country	:	US
Telephone Number	:	530-533-8500
Fax Number	:	530-532-8370

Provider Business Practice Location Address
First Line	:	2809 OLIVE HWY STE 220
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-6133
Country	:	US
Telephone Number	:	530-532-8181
Fax Number	:	530-538-8083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2010
Last Update Date	:	02/21/2020

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Directions to “ DR. JEETINDER SINGH SOHAL M.D.” Practice Location

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