Basic Information
Provider Information
NPI: 1285094029
EntityType: 2
ReplacementNPI:  
OrganizationName: NAVJIT SINGH
LastName:  
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Credential:  
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Mailing Information
Address1: 6569 N RIVERSIDE DR STE 102-350
Address2:  
City: FRESNO
State: CA
PostalCode: 937229318
CountryCode: US
TelephoneNumber: 5594503000
FaxNumber: 5592715269
Practice Location
Address1: 1303 E HERNDON AVE
Address2:  
City: FRESNO
State: CA
PostalCode: 937203309
CountryCode: US
TelephoneNumber: 5594503000
FaxNumber: 5592715269
Other Information
ProviderEnumerationDate: 03/04/2016
LastUpdateDate: 03/07/2016
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: SINGH
AuthorizedOfficialFirstName: NAVJIT
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AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 5594503000
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA138760CAY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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