Provider Demographics
NPI:1285730846
Name:VALADKHANI, SHERWIN (MD)
Entity type:Individual
Prefix:
First Name:SHERWIN
Middle Name:
Last Name:VALADKHANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 Q ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81345207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA98254OtherINTERPLAN
CA1710753OtherGREAT WEST
CA7940522OtherAETNA
CA00A813450OtherBLUE SHIELD
CA00A813450Medicaid
CA90136455OtherPACIFICARE
CA2147745OtherFIRST HEALTH
CA2333762OtherUNITED HEALTHCARE
CAA81345OtherBLUE CROSS
CA102615OtherHEALTH NET
CAMCMG270900OtherWESTERN HEALTH ADVANTAGE
CA000810568239OtherPHCS
CA6560476OtherCIGNA
CA00A813450OtherBLUE SHIELD
CA00A813450Medicaid