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NPI Code Detail

MEDICARE: VIBHA JHAWAR

MEDICARE: VIBHA JHAWAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist54420CA

General Provider Information

NPI Number : 1013126622
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIBHA JHAWAR
Provider Business Mailing Address
First Line : 6522 PARK RIVIERA WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95831-1022
Country : US
Telephone Number : 916-730-2888
Fax Number :
Provider Business Practice Location Address
First Line : 8233 E STOCKTON BLVD STE D
Second Line :
City : SACRAMENTO
State : CA
Zip : 95828-8203
Country : US
Telephone Number : 167-375-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 08/18/2020

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Directions to “ VIBHA JHAWAR ” Practice Location

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