MEDICARE: DR. KARANJIT SINGH BASRAI M.D.

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	208100000X	Physical Medicine & Rehabilitation Physician	A73010	CA

General Provider Information

NPI Number	:	1790853760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARANJIT SINGH BASRAI M.D.

Provider Business Mailing Address
First Line	:	1540 RIVER PARK DR STE 202
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95815-4609
Country	:	US
Telephone Number	:	916-245-6192
Fax Number	:	916-245-5619

Provider Business Practice Location Address
First Line	:	SUTTER ROSEVILLE MEDICAL CENTER.
Second Line	:	6, MEDICAL PLAZA DR
City	:	ROSEVILLE
State	:	CA
Zip	:	95661-3037
Country	:	US
Telephone Number	:	916-878-2669
Fax Number	:	916-878-2622

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

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	07/24/2023

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