MEDICARE: SUDEEP SINGH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	00A491470	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225130008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUDEEP SINGH MD

Provider Business Mailing Address
First Line	:	8839 N CEDAR
Second Line	:	# 53
City	:	FRESNO
State	:	CA
Zip	:	93720
Country	:	US
Telephone Number	:	559-431-9571
Fax Number	:	559-431-4721

Provider Business Practice Location Address
First Line	:	7011 N HOWARD
Second Line	:	#201
City	:	FRESNO
State	:	CA
Zip	:	93720
Country	:	US
Telephone Number	:	559-431-9571
Fax Number	:	559-431-4721

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	07/08/2007

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