Healthcare Provider Details

I. General information

NPI: 1275275331
Provider Name (Legal Business Name): SHUCHI GAUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2022
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 V ST STE 1200
SACRAMENTO CA
95817-1460
US

IV. Provider business mailing address

7552 ERIN WAY
CUPERTINO CA
95014-4321
US

V. Phone/Fax

Practice location:
  • Phone: 914-734-2011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number207505
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: