Provider Demographics
NPI:1467813873
Name:GURMANT P SINGH MD INC
Entity Type:Organization
Organization Name:GURMANT P SINGH MD INC
Other - Org Name:CENTRAL VALLEY SURGICAL SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GURMANT
Authorized Official - Middle Name:P
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-977-2400
Mailing Address - Street 1:PO BOX 28186
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-8186
Mailing Address - Country:US
Mailing Address - Phone:559-344-5032
Mailing Address - Fax:559-772-4613
Practice Address - Street 1:8307 BRIMHALL RD STE 1706
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-4343
Practice Address - Country:US
Practice Address - Phone:661-467-1477
Practice Address - Fax:661-467-1480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-11
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA114308261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1174786347Medicaid