Basic Information
Provider Information
NPI: 1679835425
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: NAVJIT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6569 N RIVERSIDE DR
Address2: STE 102-350
City: FRESNO
State: CA
PostalCode: 937229318
CountryCode: US
TelephoneNumber: 5598923470
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: 06/07/2012
LastUpdateDate: 09/30/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA138760CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200XA138760CAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
208M00000XA138760CAY Allopathic & Osteopathic PhysiciansHospitalist 

ID Information
IDTypeStateIssuerDescription
A13876001CACALIFORNIA MEDICAL LICENSEOTHER


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