Provider Demographics
NPI:1316132285
Name:WARAICH, JAAP KAUR (MD)
Entity type:Individual
Prefix:
First Name:JAAP
Middle Name:KAUR
Last Name:WARAICH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:39120 ARGONAUT WAY
Mailing Address - Street 2:284
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1304
Mailing Address - Country:US
Mailing Address - Phone:510-494-9313
Mailing Address - Fax:510-494-9991
Practice Address - Street 1:722 MOWRY AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-4115
Practice Address - Country:US
Practice Address - Phone:510-494-9313
Practice Address - Fax:510-494-9991
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG679042084A0401X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G679040Medicaid
F52144Medicare UPIN
CA00G679040Medicaid