Healthcare Provider Details

I. General information

NPI: 1811265390
Provider Name (Legal Business Name): HARPREET SINGH M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2011
Last Update Date: 01/20/2023
Certification Date: 01/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6010 HELLYER AVE STE 150
SAN JOSE CA
95138-1033
US

IV. Provider business mailing address

PO BOX 320909
LOS GATOS CA
95032-0115
US

V. Phone/Fax

Practice location:
  • Phone: 408-356-5900
  • Fax: 408-356-5902
Mailing address:
  • Phone: 408-356-5900
  • Fax: 408-356-5902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberA71470
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HARPREET SINGH
Title or Position: OWNER
Credential: M.D.
Phone: 408-356-5900