Healthcare Provider Details

I. General information

NPI: 1578521928
Provider Name (Legal Business Name): RITU SINGHAL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 12/14/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 LENNON LN
WALNUT CREEK CA
94598-2419
US

IV. Provider business mailing address

320 LENNON LN
WALNUT CREEK CA
94598-2419
US

V. Phone/Fax

Practice location:
  • Phone: 925-906-2442
  • Fax:
Mailing address:
  • Phone: 925-906-2442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberA106935
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: