Provider Demographics
NPI:1225320021
Name:COMMUNITY NEUROLOGY AND PULMONARY MEDICAL GROUP
Entity Type:Organization
Organization Name:COMMUNITY NEUROLOGY AND PULMONARY MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOVENEET
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-862-9918
Mailing Address - Street 1:PO BOX 28953
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-8953
Mailing Address - Country:US
Mailing Address - Phone:559-228-4298
Mailing Address - Fax:559-224-3920
Practice Address - Street 1:7407 N CEDAR AVE
Practice Address - Street 2:#101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3839
Practice Address - Country:US
Practice Address - Phone:559-228-4298
Practice Address - Fax:559-224-3920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92981207RP1001X
CAA1039472084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty