Healthcare Provider Details

I. General information

NPI: 1437534229
Provider Name (Legal Business Name): RIKA PRODHAN-ASHRAF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2015
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 FRANCISCO DR STE 460
EL DORADO HILLS CA
95762-3780
US

IV. Provider business mailing address

2222 FRANCISCO DR STE 460
EL DORADO HILLS CA
95762-3780
US

V. Phone/Fax

Practice location:
  • Phone: 202-271-0424
  • Fax:
Mailing address:
  • Phone: 202-271-0424
  • Fax: 916-933-6011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number100814
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: