MEDICARE: AJAY PAL SINGH 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	2084P0804X	Child & Adolescent Psychiatry Physician	A118490	CA
2	2084P0800X	Psychiatry Physician	A118490	CA

General Provider Information

NPI Number	:	1689830408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AJAY PAL SINGH M.D.

Provider Business Mailing Address
First Line	:	3835 N FREEWAY BLVD STE 100
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-1954
Country	:	US
Telephone Number	:	916-576-7900
Fax Number	:	916-285-0338

Provider Business Practice Location Address
First Line	:	1712 PICASSO AVE STE D
Second Line	:
City	:	DAVIS
State	:	CA
Zip	:	95618-0546
Country	:	US
Telephone Number	:	530-297-7500
Fax Number	:	530-297-7751

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

Provider Enumeration Date	:	07/31/2008
Last Update Date	:	03/29/2018

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