Basic Information
| Provider Information | |||||||||
| NPI: | 1912268095 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DHINDSA | ||||||||
| FirstName: | MANDEEP | ||||||||
| MiddleName: | SINGH | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3419 PEPPERIDGE DR | ||||||||
| Address2: | |||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951482233 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5129680812 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7210 MURRAY DR | ||||||||
| Address2: | COMMUNITY MEDICAL CENTERS, INC. | ||||||||
| City: | STOCKTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 952103339 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2093732800 | ||||||||
| FaxNumber: | 2093732878 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2012 | ||||||||
| LastUpdateDate: | 08/10/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 136167 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.