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NPI 1194134239

NPI 1194134239 : RAVI RAJ SINGH MD, INC : SUN VALLEY, CA

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General NPI Number Information
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    NPI Number           |    1194134239
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAVI RAJ SINGH MD, INC 
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Dates
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    Enumeration Date     |    08/02/2014
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    Last Update Date     |    08/03/2014
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Provider Practice Location Address
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    Address Line         |    8730 GLENOAKS BLVD 
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    City                 |    SUN VALLEY
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    State                |    CA
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    Zip                  |    91352-2801
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    Country              |    US
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    Telephone            |    818-767-8811
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    Fax                  |    818-767-8813
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Provider Business Mailing Address
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    Address Line         |    8730 GLENOAKS BLVD 
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    City                 |    SUN VALLEY
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    State                |    CA
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    Zip                  |    91352-2801
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    Country              |    US
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    Telephone            |    818-767-8811
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    Fax                  |    818-767-8813
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     RAVI RAJ SINGH 
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    Credential           |    MD
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    Telephone            |    818-767-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207T00000X
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    Taxonomy Name        |    Neurological Surgery Physician
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    License Number       |    A127484
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    License Number State |    CA
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