MEDICARE: NORTHCAL HEMATOLOGY ONCOLOGY INC

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
1	207RH0003X	Hematology & Oncology Physician	A67842	CA

General Provider Information

NPI Number	:	1366495145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHCAL HEMATOLOGY ONCOLOGY INC

Provider Business Mailing Address
First Line	:	11795 EDUCATION ST
Second Line	:	STE 220
City	:	AUBURN
State	:	CA
Zip	:	95602-2469
Country	:	US
Telephone Number	:	530-888-9907
Fax Number	:	530-888-9903

Provider Business Practice Location Address
First Line	:	11795 EDUCATION ST
Second Line	:	STE 220
City	:	AUBURN
State	:	CA
Zip	:	95602-2469
Country	:	US
Telephone Number	:	530-888-9907
Fax Number	:	530-888-9903

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GURVINDER S SHAHEED
Credential	:	M.D.
Telephone Number	:	530-888-9907

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	09/20/2011

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