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General NPI Number Information
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NPI Number | 1881971711
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Entity Type | Organization
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Legal Business Name | RAVI K. SINGH, M.D., INC.
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Dates
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Enumeration Date | 11/07/2011
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 15405 LOS GATOS BLVD STE 104
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City | LOS GATOS
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State | CA
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Zip | 95032-2500
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Country | US
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Telephone | 408-402-0770
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Fax |
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Provider Business Mailing Address
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Address Line | 15405 LOS GATOS BLVD STE 104
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City | LOS GATOS
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State | CA
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Zip | 95032-2500
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Country | US
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Telephone | 408-402-0770
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAVI SINGH
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Credential | M.D.
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Telephone | 630-235-0625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A107654
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License Number State | CA
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