MEDICARE: POCKET PEDIATRICS, 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	2080A0000X	Pediatric Adolescent Medicine Physician	A056390	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	:	1386755262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POCKET PEDIATRICS, INC.

Provider Business Mailing Address
First Line	:	1355 FLORIN RD
Second Line	:	#10
City	:	SACRAMENTO
State	:	CA
Zip	:	95822-4231
Country	:	US
Telephone Number	:	916-422-7273
Fax Number	:	916-422-2127

Provider Business Practice Location Address
First Line	:	1355 FLORIN RD
Second Line	:	#10
City	:	SACRAMENTO
State	:	CA
Zip	:	95822-4231
Country	:	US
Telephone Number	:	916-422-7273
Fax Number	:	916-422-2127

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RAVINDER SINGH KHAIRA
Credential	:	M.D.
Telephone Number	:	916-422-7273

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/10/2008

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Directions to “POCKET PEDIATRICS, INC. ” Practice Location

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