Healthcare Provider Details

I. General information

NPI: 1457360901
Provider Name (Legal Business Name): SOREN A SINGEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 04/14/2021
Certification Date: 04/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 N JACKSON AVE STE 107
SAN JOSE CA
95116-1915
US

IV. Provider business mailing address

555 BRYANT ST STE 909
PALO ALTO CA
94301-1704
US

V. Phone/Fax

Practice location:
  • Phone: 650-257-2976
  • Fax:
Mailing address:
  • Phone: 650-257-2976
  • Fax: 650-257-2979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberN8349
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberN8349
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number72823
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number35.086313
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: