Provider Demographics
NPI:1730908492
Name:DOSANJH, RAJINDER SINGH
Entity type:Individual
Prefix:
First Name:RAJINDER
Middle Name:SINGH
Last Name:DOSANJH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 GINGERWOOD PL
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-6697
Mailing Address - Country:US
Mailing Address - Phone:707-631-9683
Mailing Address - Fax:
Practice Address - Street 1:2013 GINGERWOOD PL
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-6697
Practice Address - Country:US
Practice Address - Phone:707-631-9683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90347183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist