Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A94217 | CA |
N | 111NI0900X | Internist | A94217 | CA |
N | 207RG0100X | Gastroenterologist | 41994 | AZ |
Y | 207RG0100X | Gastroenterologist | A94217 | CA |
NPI | 1003995408 |
---|---|
Provider Name | Dr. Bhavneet Singh |
First Address | Roseville, CA 95661-3027 |
Second Address | Tucson, AZ 85705-5845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2006 |
Last Update Date | 22/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A942170 | (05) | CA |
110110927 | MEDICARE RR (01) | CA |
I72310 | (02) | CA |