Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | A108391 | CA |
NPI | 1023039690 |
---|---|
Provider Name | Mandeep Singh |
First Address | Fresno, CA 93720-2989 |
Second Address | Fresno, CA 93720-2989 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 28/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A1083910 | (05) | CA |