MEDICARE: DR. RAHUL KUMAR SINGH O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	14135T	CA

General Provider Information

NPI Number	:	1154618932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAHUL KUMAR SINGH O.D.

Provider Business Mailing Address
First Line	:	PO BOX 722
Second Line	:
City	:	MORGAN HILL
State	:	CA
Zip	:	95038-0722
Country	:	US
Telephone Number	:	408-710-6423
Fax Number	:

Provider Business Practice Location Address
First Line	:	2662 BROADWAY ST
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-1533
Country	:	US
Telephone Number	:	650-366-2020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2011
Last Update Date	:	07/02/2012

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