Provider Demographics
NPI:1285729244
Name:SCHARRUHN, KATHARINA RUTH (MD)
Entity type:Individual
Prefix:DR
First Name:KATHARINA
Middle Name:RUTH
Last Name:SCHARRUHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1000 FOWLER WAY
Mailing Address - Street 2:SUITE #8
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667
Mailing Address - Country:US
Mailing Address - Phone:530-626-8003
Mailing Address - Fax:530-626-8082
Practice Address - Street 1:1000 FOWLER WAY
Practice Address - Street 2:SUITE #8
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667
Practice Address - Country:US
Practice Address - Phone:530-626-8003
Practice Address - Fax:530-626-8082
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG73391207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G733910OtherMEDI-CAL NUMBER
CAF62422Medicare UPIN
CA00G733910Medicare ID - Type Unspecified