Healthcare Provider Details
I. General information
NPI: 1336818467
Provider Name (Legal Business Name): SATBIR SINGH, MD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2021
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1960 N MAIN ST UNIT 307
WALNUT CREEK CA
94596-3925
US
IV. Provider business mailing address
PO BOX 816
CONCORD CA
94522-0816
US
V. Phone/Fax
- Phone: 424-256-6772
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SATBIR
SINGH
Title or Position: PRESIDENT
Credential: MD
Phone: 510-589-4350