MEDICARE: MR. RAVNEEL BIR SINGH PA-C

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	363A00000X	Physician Assistant	10814	AZ

General Provider Information

NPI Number	:	1154830453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAVNEEL BIR SINGH PA-C

Provider Business Mailing Address
First Line	:	10000 N 31ST AVE STE D119
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9587
Country	:	US
Telephone Number	:	602-742-0370
Fax Number	:

Provider Business Practice Location Address
First Line	:	10000 N 31ST AVE STE D119
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9587
Country	:	US
Telephone Number	:	602-742-0370
Fax Number	:	928-460-8476

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

Provider Enumeration Date	:	09/29/2017
Last Update Date	:	05/15/2025

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