Provider Demographics
NPI:1437130457
Name:SINGH, AJINDER (MD, CPE)
Entity Type:Individual
Prefix:MR
First Name:AJINDER
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD, CPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 GALAXY WAY STE 400
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5725
Mailing Address - Country:US
Mailing Address - Phone:925-225-5837
Mailing Address - Fax:925-225-5838
Practice Address - Street 1:333 MERCY AVE
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-8319
Practice Address - Country:US
Practice Address - Phone:209-564-5130
Practice Address - Fax:209-564-5196
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83724207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A837240OtherBLUE SHIELD
CA00A837240Medicaid
CA00A837240Medicaid
G94001Medicare UPIN
CA00A837243Medicare PIN
CA00A837241Medicare PIN