MEDICARE: SUDEEP KAUR GHUMAN MD

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	207R00000X	Internal Medicine Physician	A117886	CA
2	207R00000X	Internal Medicine Physician	35.097419	OH
3	207RH0003X	Hematology & Oncology Physician	35.097419	OH
4	207RH0003X	Hematology & Oncology Physician	A117886	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376795468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUDEEP KAUR GHUMAN MD

Provider Business Mailing Address
First Line	:	2767 OLIVE HWY
Second Line	:	MEDICAL STAFF OFFICE / OROVILLE HOSPITAL
City	:	OROVILLE
State	:	CA
Zip	:	95966-6118
Country	:	US
Telephone Number	:	918-528-5268
Fax Number	:	918-770-0058

Provider Business Practice Location Address
First Line	:	2809 OLIVE HWY STE 150
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-6133
Country	:	US
Telephone Number	:	530-532-8180
Fax Number	:	530-538-3145

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	07/31/2019

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Directions to “ SUDEEP KAUR GHUMAN MD” Practice Location

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