Healthcare Provider Details

I. General information

NPI: 1417117581
Provider Name (Legal Business Name): INDER M SINGH MD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY AVE STE 250
SACRAMENTO CA
95825-6525
US

IV. Provider business mailing address

32731 EGYPT LN STE 502
MAGNOLIA TX
77354-3663
US

V. Phone/Fax

Practice location:
  • Phone: 916-680-9510
  • Fax:
Mailing address:
  • Phone: 855-572-5375
  • Fax: 281-453-7462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberT3882
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberA112871
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA112871
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: