Healthcare Provider Details

I. General information

NPI: 1720786734
Provider Name (Legal Business Name): CAPITAL INTEGRATIVE RHEUMATOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 09/23/2023
Certification Date: 09/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 E BIDWELL ST
FOLSOM CA
95630-6453
US

IV. Provider business mailing address

PO BOX 2999
GRANITE BAY CA
95746-2999
US

V. Phone/Fax

Practice location:
  • Phone: 916-567-3500
  • Fax: 844-722-9257
Mailing address:
  • Phone: 916-292-9006
  • Fax: 531-200-7513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HARBRINDER S SANDHU
Title or Position: CEO
Credential: MD
Phone: 518-320-6964