Healthcare Provider Details

I. General information

NPI: 1114750171
Provider Name (Legal Business Name): RANIKA MAHARAJ FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2024
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2878 YGNACIO VALLEY RD
WALNUT CREEK CA
94598-3534
US

IV. Provider business mailing address

8583 WICKLOW LN
DUBLIN CA
94568-1145
US

V. Phone/Fax

Practice location:
  • Phone: 925-658-5338
  • Fax:
Mailing address:
  • Phone: 925-404-3502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95028578
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: