Healthcare Provider Details
I. General information
NPI: 1205857281
Provider Name (Legal Business Name): AARATHI CHOLKERI-SINGH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/22/2006
Last Update Date: 02/10/2021
Certification Date: 02/10/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2151 E GRAND AVE
EL SEGUNDO CA
90245-5017
US
IV. Provider business mailing address
2151 E GRAND AVE
EL SEGUNDO CA
90245-5017
US
V. Phone/Fax
- Phone: 310-426-4627
- Fax:
- Phone: 310-426-4627
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | 036113002 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 227740 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: