Provider Demographics
NPI:1346211620
Name:SINGH, HARWINDER (MD)
Entity Type:Individual
Prefix:
First Name:HARWINDER
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 1:7125 N CHESTNUT AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0358
Mailing Address - Country:US
Mailing Address - Phone:559-325-3070
Mailing Address - Fax:559-325-3073
Practice Address - Street 1:7125 N CHESTNUT AVE STE 106
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-0358
Practice Address - Country:US
Practice Address - Phone:559-325-3070
Practice Address - Fax:559-325-3073
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72576208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
202185740OtherBLUE CROSS
608819000OtherUS DEPT OF LABOR
CA00A725760Medicaid
00A725760OtherBLUE SHIELD
202185740OtherBLUE CROSS
00A725760OtherBLUE SHIELD