Healthcare Provider Details

I. General information

NPI: 1730438037
Provider Name (Legal Business Name): BURZEEN ERUCH KARANJAWALA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2012
Last Update Date: 08/16/2022
Certification Date: 08/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 29TH ST SUITE 350
SACRAMENTO CA
95816-5125
US

IV. Provider business mailing address

1020 29TH ST SUITE 350
SACRAMENTO CA
95816-5125
US

V. Phone/Fax

Practice location:
  • Phone: 916-231-1050
  • Fax: 916-231-1055
Mailing address:
  • Phone: 916-231-1050
  • Fax: 916-231-1055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberA142182
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA142182
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: