Healthcare Provider Details

I. General information

NPI: 1407293665
Provider Name (Legal Business Name): BABU SINGH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2013
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 BLUE OAKS BLVD
ROSEVILLE CA
95747-7143
US

IV. Provider business mailing address

1216 SUNCAST LN STE 4
EL DORADO HILLS CA
95762-9668
US

V. Phone/Fax

Practice location:
  • Phone: 916-784-7546
  • Fax: 916-784-7548
Mailing address:
  • Phone: 408-306-9151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberA148100
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberA148100
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: