Basic Information
Provider Information
NPI: 1730528803
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAINS
FirstName: APAR
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD, MBBS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10470 OLD PLACERVILLE RD STE 100
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958272539
CountryCode: US
TelephoneNumber: 8004700071
FaxNumber:  
Practice Location
Address1: 1160 SUNSET BLVD
Address2:  
City: ROCKLIN
State: CA
PostalCode: 957653710
CountryCode: US
TelephoneNumber: 9168651000
FaxNumber: 9168651005
Other Information
ProviderEnumerationDate: 06/21/2013
LastUpdateDate: 10/18/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XD0075267MDN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XD75267MDN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XC10011721DEN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XA145352CAY Allopathic & Osteopathic PhysiciansFamily Medicine 

ID Information
IDTypeStateIssuerDescription
291409Y2B01MDMEDICARE MARYLANDOTHER


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