Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 00A491470 | CA |
NPI | 1225130008 |
---|---|
Provider Name | Sudeep Singh |
First Address | Fresno, CA 93720 |
Second Address | Fresno, CA 93720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F18495 | (02) | |
GR0084990 | (05) | CA |