MEDICARE: JAGJIT SINGH, M.D., INC

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	174400000X	Specialist	A45075	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DH2397	OTHER	CA	RAILROAD MEDICARE

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427100973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAGJIT SINGH, M.D., INC

Provider Business Mailing Address
First Line	:	2350 N CALIFORNIA ST
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95204-5506
Country	:	US
Telephone Number	:	209-943-0851
Fax Number	:	209-943-0137

Provider Business Practice Location Address
First Line	:	2350 N CALIFORNIA ST
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95204-5506
Country	:	US
Telephone Number	:	209-943-0851
Fax Number	:	209-943-0137

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAGJIT SINGH
Credential	:	M.D.
Telephone Number	:	209-943-0851

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	07/08/2008

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