Healthcare Provider Details

I. General information

NPI: 1811221674
Provider Name (Legal Business Name): KULWANT SINGH M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2009
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 AUBURN BLVD
SACRAMENTO CA
95841-4164
US

IV. Provider business mailing address

5108 BREESE CIR ST 4
EL DORADO HILLS CA
95762-7656
US

V. Phone/Fax

Practice location:
  • Phone: 916-489-3336
  • Fax:
Mailing address:
  • Phone: 916-984-6111
  • Fax: 916-293-8152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA105095
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: