Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 52113 | CA |
NPI | 1083651020 |
---|---|
Provider Name | Devinderjit Singh |
First Address | Yuba City, CA 95991-5075 |
Second Address | Yuba City, CA 95991-5075 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 13/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C52113 | STATE LICENSE (01) | CA |
G39805 | (02) | CA |