Basic Information
Provider Information
NPI: 1487805784
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GAUCHAN
FirstName: DRON
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 255228
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958655228
CountryCode: US
TelephoneNumber: 9167088038
FaxNumber:  
Practice Location
Address1: 11795 EDUCATION ST STE 232
Address2:  
City: AUBURN
State: CA
PostalCode: 956022469
CountryCode: US
TelephoneNumber: 5308866587
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/05/2008
LastUpdateDate: 03/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003X27775NEN Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
207RH0003XA152673CAY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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