Healthcare Provider Details

I. General information

NPI: 1992796759
Provider Name (Legal Business Name): SIERRA HEMATOLOGY AND ONCOLOGY MEDICAL CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2005
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6555 COYLE AVE 301
CARMICHAEL CA
95608-0302
US

IV. Provider business mailing address

6555 COYLE AVE SUITE 301
CARMICHAEL CA
95608-0302
US

V. Phone/Fax

Practice location:
  • Phone: 916-962-1554
  • Fax:
Mailing address:
  • Phone: 916-962-1554
  • Fax: 916-962-1973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Internal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207UN0902X
TaxonomyNuclear Imaging & Therapy Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. RAM LALCHANDANI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 916-962-1554