Healthcare Provider Details
I. General information
NPI: 1437738028
Provider Name (Legal Business Name): ANANT DHINGRA
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/02/2021
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2315 STOCKTON BLVD
SACRAMENTO CA
95817-2201
US
IV. Provider business mailing address
4860 Y ST STE 3100
SACRAMENTO CA
95817-2307
US
V. Phone/Fax
- Phone: 916-734-2011
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | A182199 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: