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Contact Information

JETINDER S GHAG
3636 N.FIRST ST # 135 AND 154
FRESNO, CA93726
 Phone: 559-225-1464
 Fax: 844-601-2973
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JETINDER S GHAG · (Male)

NPI # 1205358819
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2017
Last updated 07/31/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 6393
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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