MEDICARE: RAVINDERJIT KAUR SINGH MD

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	207Q00000X	Family Medicine Physician	A93256	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	GD750A	OTHER	CA	PTAN

General Provider Information

NPI Number	:	1740338771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAVINDERJIT KAUR SINGH MD

Provider Business Mailing Address
First Line	:	9900 STOCKDALE HWY
Second Line	:	STE 205
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-3634
Country	:	US
Telephone Number	:	661-588-6267
Fax Number	:

Provider Business Practice Location Address
First Line	:	9900 STOCKDALE HWY
Second Line	:	SUITE 205
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-3632
Country	:	US
Telephone Number	:	661-817-5988
Fax Number	:

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	12/20/2016

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