Healthcare Provider Details

I. General information

NPI: 1154410967
Provider Name (Legal Business Name): HARAMANDEEP SINGH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 OLD CROW CANYON RD STE 505
SAN RAMON CA
94583-1623
US

IV. Provider business mailing address

PO BOX 1855
SAN RAMON CA
94583-6855
US

V. Phone/Fax

Practice location:
  • Phone: 925-415-5353
  • Fax:
Mailing address:
  • Phone: 314-454-2694
  • Fax: 844-231-8913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number2021028265
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: