Provider Demographics
NPI:1427212653
Name:SINGH, CONNIE TANG (MD)
Entity Type:Individual
Prefix:
First Name:CONNIE
Middle Name:TANG
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CONNIE
Other - Middle Name:K
Other - Last Name:TANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1801 E MARCH LN STE C310
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95210-6683
Mailing Address - Country:US
Mailing Address - Phone:209-465-5731
Mailing Address - Fax:209-465-0230
Practice Address - Street 1:1801 E MARCH LN STE C310
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95210-6683
Practice Address - Country:US
Practice Address - Phone:209-465-5731
Practice Address - Fax:209-465-0230
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104374207R00000X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine