Provider Demographics
NPI:1447294624
Name:SINGH, DEVINDAR (MD)
Entity type:Individual
Prefix:
First Name:DEVINDAR
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:39120 ARGONAUT WAY
Mailing Address - Street 2:#275
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1304
Mailing Address - Country:US
Mailing Address - Phone:510-796-0770
Mailing Address - Fax:510-796-7099
Practice Address - Street 1:556 MOWRY AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-4186
Practice Address - Country:US
Practice Address - Phone:510-796-0770
Practice Address - Fax:510-796-7099
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2010-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA48148207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A481480Medicaid
CA00A481480Medicaid
CAZZZ24638ZMedicare PIN