Provider Demographics
NPI:1316388028
Name:THIARA, SIMRAN KAUR (MD)
Entity type:Individual
Prefix:
First Name:SIMRAN
Middle Name:KAUR
Last Name:THIARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SIMRAN
Other - Middle Name:KAUR
Other - Last Name:NAHAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1020 29TH ST STE 270
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5173
Mailing Address - Country:US
Mailing Address - Phone:916-455-3700
Mailing Address - Fax:916-733-8232
Practice Address - Street 1:1020 29TH ST STE 270
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5173
Practice Address - Country:US
Practice Address - Phone:916-455-3700
Practice Address - Fax:916-733-8232
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA138782207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology