Provider Demographics
NPI:1588770069
Name:DHESI, RAJPREET S (MD)
Entity type:Individual
Prefix:DR
First Name:RAJPREET
Middle Name:S
Last Name:DHESI
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 1:600 NUT TREE RD STE 320
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-4686
Mailing Address - Country:US
Mailing Address - Phone:707-449-6373
Mailing Address - Fax:707-443-0839
Practice Address - Street 1:600 NUT TREE RD STE 320
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-4686
Practice Address - Country:US
Practice Address - Phone:707-449-6373
Practice Address - Fax:707-443-0839
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA502552081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABLUE SHIELD PIN #Other00A502550
CA05D1097147OtherFEDERAL CLIA ID
CA1588770069Medicaid
CA05D1097147OtherFEDERAL CLIA ID
CAF43345Medicare UPIN