Healthcare Provider Details

I. General information

NPI: 1912170846
Provider Name (Legal Business Name): DEEPIKA SAINI, M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2008
Last Update Date: 06/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 SISTER MARY COLUMBA DR
RED BLUFF CA
96080-4356
US

IV. Provider business mailing address

2450 SISTER MARY COLUMBA DR
RED BLUFF CA
96080-4356
US

V. Phone/Fax

Practice location:
  • Phone: 530-527-0414
  • Fax: 530-528-7922
Mailing address:
  • Phone: 530-527-0414
  • Fax: 530-528-7922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA102244
License Number StateCA

VIII. Authorized Official

Name: DEEPIKA SAINI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 530-244-0564