Healthcare Provider Details

I. General information

NPI: 1962767376
Provider Name (Legal Business Name): AMAN DEEP SINGH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2012
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 BREWSTER AVE
REDWOOD CITY CA
94063-1510
US

IV. Provider business mailing address

400 L ST
FREMONT CA
94536-2960
US

V. Phone/Fax

Practice location:
  • Phone: 510-415-2578
  • Fax:
Mailing address:
  • Phone: 510-415-2578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA142604
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number125062206
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: