Healthcare Provider Details

I. General information

NPI: 1144144346
Provider Name (Legal Business Name): RAGA PHABLET
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4483 MIRA LOMA DR
PITTSBURG CA
94565-6450
US

IV. Provider business mailing address

4483 MIRA LOMA DR
PITTSBURG CA
94565-6450
US

V. Phone/Fax

Practice location:
  • Phone: 510-565-8230
  • Fax:
Mailing address:
  • Phone: 510-565-8230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: AMANDEEP PAL
Title or Position: MANAGER
Credential:
Phone: 510-565-8230