Healthcare Provider Details

I. General information

NPI: 1235347865
Provider Name (Legal Business Name): DR. HARMINDER SINGH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 10/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 S BASCOM AVE
SAN JOSE CA
95128-2604
US

IV. Provider business mailing address

1070 PAINTBRUSH DR
SUNNYVALE CA
94086-8703
US

V. Phone/Fax

Practice location:
  • Phone: 408-885-5686
  • Fax: 408-885-6195
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberMT184732
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: