MEDICARE: DR. ABHA GOYAL SINGH M.B., B.S.

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	207R00000X	Internal Medicine Physician	53991	MN
2	207R00000X	Internal Medicine Physician	R-8257	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	POO992478	OTHER	MN	MCR RAILROAD MEDICARE

General Provider Information

NPI Number	:	1710144423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABHA GOYAL SINGH M.B., B.S.

Provider Business Mailing Address
First Line	:	9500 GILMAN DR DEPT 656
Second Line	:
City	:	LA JOLLA
State	:	CA
Zip	:	92093-0656
Country	:	US
Telephone Number	:	858-534-2359
Fax Number	:

Provider Business Practice Location Address
First Line	:	PERLMAN AMBULATORY CARE CLINIC
Second Line	:	9350 CAMPUS POINT DRIVE
City	:	LA JOLLA
State	:	CA
Zip	:	92093-0001
Country	:	US
Telephone Number	:	858-657-6110
Fax Number	:

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

Provider Enumeration Date	:	05/20/2008
Last Update Date	:	03/07/2016

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Directions to “ DR. ABHA GOYAL SINGH M.B., B.S.” Practice Location

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