Provider Demographics
NPI:1396860037
Name:SINGLETON, PAMELA DENISE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:DENISE
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 SULLIVAN AVE
Mailing Address - Street 2:#550
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015
Mailing Address - Country:US
Mailing Address - Phone:650-756-2404
Mailing Address - Fax:650-994-9646
Practice Address - Street 1:1850 SULLIVAN AVE
Practice Address - Street 2:#550
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015
Practice Address - Country:US
Practice Address - Phone:650-756-2404
Practice Address - Fax:650-994-9646
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG72840207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G728400Medicaid
CA00G728400Medicaid
CA00G728400Medicare ID - Type Unspecified