Healthcare Provider Details

I. General information

NPI: 1780776328
Provider Name (Legal Business Name): GURJIT SINGH MARWAH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 COHASSET RD
CHICO CA
95926-5513
US

IV. Provider business mailing address

PO BOX AD
YUBA CITY CA
95992-1396
US

V. Phone/Fax

Practice location:
  • Phone: 530-342-6065
  • Fax: 305-343-7769
Mailing address:
  • Phone: 800-313-0111
  • Fax: 530-751-1237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA50005
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: