Healthcare Provider Details
I. General information
NPI: 1316105802
Provider Name (Legal Business Name): HARAMANDEEP SINGH MD INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/30/2008
Last Update Date: 09/20/2021
Certification Date: 09/20/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5201 NORRIS CANYON RD SUITE 120
SAN RAMON CA
94583-5411
US
IV. Provider business mailing address
PO BOX 1855
SAN RAMON CA
94583-6855
US
V. Phone/Fax
- Phone: 925-415-5353
- Fax: 888-850-1210
- Phone: 925-415-5353
- Fax: 888-850-1210
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HARAMANDEEP
SINGH
Title or Position: CEO/PRESIDENT
Credential: M.D.
Phone: 925-640-2210