Provider Demographics
NPI:1033172689
Name:SINGH, LEENA (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:LEENA
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1488 EAST AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1795
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1488 EAST AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1795
Practice Address - Country:US
Practice Address - Phone:530-342-1310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90422207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A904220OtherOTHER INSURANCE CARRIERS
CA00A904220Medicaid
CA00A904220Medicaid
CA00A904220Medicare ID - Type UnspecifiedPPIN
CAZZZ03063ZMedicare ID - Type UnspecifiedGROUP ID