=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740392133
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PARAMJIT SINGH MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2006
-----------------------------------------------------
Last Update Date | 11/15/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1645 ESPLANADE SUITE 2
-----------------------------------------------------
City | CHICO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95926-3367
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-809-0470
-----------------------------------------------------
Fax | 530-809-0486
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1645 ESPLANADE SUITE 2
-----------------------------------------------------
City | CHICO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95926
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-809-0470
-----------------------------------------------------
Fax | 530-809-0486
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084B0040X
-----------------------------------------------------
Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
-----------------------------------------------------
License Number | A70585
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------