Healthcare Provider Details

I. General information

NPI: 1386149557
Provider Name (Legal Business Name): YASHEEKA MAHARAJ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 09/06/2023
Certification Date: 05/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2767 OLIVE HWY
OROVILLE CA
95966-6118
US

IV. Provider business mailing address

3164 SWALLOWS NEST DR
SACRAMENTO CA
95833-9727
US

V. Phone/Fax

Practice location:
  • Phone: 530-533-8500
  • Fax:
Mailing address:
  • Phone: 954-278-5399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA180638
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: