MEDICARE: DR. MOHINDERJIT SINGH NEELAM M.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	207R00000X	Internal Medicine Physician	A043940	CA

General Provider Information

NPI Number	:	1457325193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHINDERJIT SINGH NEELAM M.D.

Provider Business Mailing Address
First Line	:	2603 VIA CAMPO
Second Line	:
City	:	MONTEBELLO
State	:	CA
Zip	:	90640-1807
Country	:	US
Telephone Number	:	323-278-7560
Fax Number	:	323-278-7539

Provider Business Practice Location Address
First Line	:	2603 VIA CAMPO
Second Line	:
City	:	MONTEBELLO
State	:	CA
Zip	:	90640-1807
Country	:	US
Telephone Number	:	323-278-7560
Fax Number	:	323-278-7539

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

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	01/24/2013

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