Healthcare Provider Details

I. General information

NPI: 1639369168
Provider Name (Legal Business Name): HARDEEP SINGH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2007
Last Update Date: 05/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1965 LIVE OAK BLVD
YUBA CITY CA
95991-8850
US

IV. Provider business mailing address

1965 LIVE OAK BLVD
YUBA CITY CA
95991-8850
US

V. Phone/Fax

Practice location:
  • Phone: 530-822-7200
  • Fax: 530-822-7108
Mailing address:
  • Phone: 530-822-7200
  • Fax: 530-822-7108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA105894
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: