Healthcare Provider Details

I. General information

NPI: 1750398061
Provider Name (Legal Business Name): KANWAL J. SINGH, M.D. F.A.C.C.,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1290 E ALMOND AVE
MADERA CA
93637-5606
US

IV. Provider business mailing address

1290 E ALMOND AVE
MADERA CA
93637-5606
US

V. Phone/Fax

Practice location:
  • Phone: 559-661-6212
  • Fax: 559-661-6216
Mailing address:
  • Phone: 559-661-6212
  • Fax: 559-661-6216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: KANWAL JEET SINGH
Title or Position: OWNER
Credential: M.D.
Phone: 559-661-6212