Provider Demographics
NPI:1083651020
Name:SINGH, DEVINDERJIT (MD)
Entity Type:Individual
Prefix:
First Name:DEVINDERJIT
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 PLUMAS BLVD
Mailing Address - Street 2:STE 201
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-5075
Mailing Address - Country:US
Mailing Address - Phone:530-634-9988
Mailing Address - Fax:530-634-9788
Practice Address - Street 1:481 PLUMAS BLVD
Practice Address - Street 2:STE 201
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5075
Practice Address - Country:US
Practice Address - Phone:530-634-9988
Practice Address - Fax:530-634-9788
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA52113207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC52113OtherSTATE LICENSE
CAG39805Medicare UPIN