Provider Information for 1679986046
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
RAHUL RAGU LMFT
Sex: Male
NPI: 1679986046
Last Updated: 2022-01-12
Certification Date: 2022-01-12
Certification Date: 2022-01-12
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1679986046 | ||||||||
| Enumeration Date | 2014-06-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 720 ALHAMBRA BLVD SACRAMENTO, CA 95816-3825 United States Phone: 916-492-9007 | Fax: | ||||||||
| Primary Practice Address | 720 ALHAMBRA BLVD SACRAMENTO, CA 95816-3825 United States Phone: 916-492-9007 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|