Provider Demographics
NPI:1457325193
Name:NEELAM, MOHINDERJIT SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHINDERJIT
Middle Name:SINGH
Last Name:NEELAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2603 VIA CAMPO
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-1807
Mailing Address - Country:US
Mailing Address - Phone:323-278-7560
Mailing Address - Fax:323-278-7539
Practice Address - Street 1:2603 VIA CAMPO
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-1807
Practice Address - Country:US
Practice Address - Phone:323-278-7560
Practice Address - Fax:323-278-7539
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA043940207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine