MEDICARE: MRS. RAMAN PREET PAUL

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1861974149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RAMAN PREET PAUL

Provider Business Mailing Address
First Line	:	2601 OAKDALE ROAD STE H2 #164
Second Line	:
City	:	MODESTO
State	:	CA
Zip	:	95355
Country	:	US
Telephone Number	:	209-214-6186
Fax Number	:	209-222-3154

Provider Business Practice Location Address
First Line	:	2505 EL VAQUERO DR
Second Line	:
City	:	MODESTO
State	:	CA
Zip	:	95355-7948
Country	:	US
Telephone Number	:	209-404-3898
Fax Number	:	209-222-3154

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

Provider Enumeration Date	:	09/03/2018
Last Update Date	:	09/03/2018

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Directions to “ MRS. RAMAN PREET PAUL ” Practice Location

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