Provider Demographics
NPI:1407947393
Name:SINGH, AMRIT (MD)
Entity Type:Individual
Prefix:
First Name:AMRIT
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 1:6489 E SURREY DR
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-4744
Mailing Address - Country:US
Mailing Address - Phone:714-865-0263
Mailing Address - Fax:714-660-6106
Practice Address - Street 1:6489 E SURREY DR
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-4744
Practice Address - Country:US
Practice Address - Phone:714-865-0263
Practice Address - Fax:714-660-6106
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25844207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A258440Medicaid
CAA24599Medicare UPIN
00A258440Medicare PIN
A24599Medicare UPIN