Provider Demographics
NPI:1588492045
Name:S TAKHAR MD
Entity type:Organization
Organization Name:S TAKHAR MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUKHJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:TAKHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-747-6160
Mailing Address - Street 1:185 CHANNEL ST APT 807
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-1737
Mailing Address - Country:US
Mailing Address - Phone:559-375-3994
Mailing Address - Fax:
Practice Address - Street 1:101 S SAN MATEO DR STE 311
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3844
Practice Address - Country:US
Practice Address - Phone:650-747-6160
Practice Address - Fax:650-200-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty