Provider Demographics
NPI:1083902373
Name:MIGLANI, RAVINDER SINGH (CLASS A LICENSE)
Entity Type:Individual
Prefix:MR
First Name:RAVINDER
Middle Name:SINGH
Last Name:MIGLANI
Suffix:
Gender:M
Credentials:CLASS A LICENSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4231 JENKINS LN
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-1049
Mailing Address - Country:US
Mailing Address - Phone:909-838-3121
Mailing Address - Fax:951-892-2109
Practice Address - Street 1:4231 JENKINS LN
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-1049
Practice Address - Country:US
Practice Address - Phone:909-838-3121
Practice Address - Fax:951-892-2109
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD3514215343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)