Healthcare Provider Details

I. General information

NPI: 1548192909
Provider Name (Legal Business Name): AJAY PAL SINGH MD MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2840 5TH ST
DAVIS CA
95618-7759
US

IV. Provider business mailing address

2840 5TH ST
DAVIS CA
95618-7759
US

V. Phone/Fax

Practice location:
  • Phone: 669-900-5721
  • Fax: 669-900-5721
Mailing address:
  • Phone: 669-900-5721
  • Fax: 669-900-5721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: AJAY PAL SINGH
Title or Position: OWNER
Credential: MD
Phone: 567-249-8041