Provider Demographics
NPI:1518007889
Name:SINGH, RAJINDER (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJINDER
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 1:1595 SOQUEL DRIVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95065-1560
Mailing Address - Country:US
Mailing Address - Phone:831-464-3801
Mailing Address - Fax:831-464-2737
Practice Address - Street 1:1595 SOQUEL DRIVE
Practice Address - Street 2:SUITE 220
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95065-1560
Practice Address - Country:US
Practice Address - Phone:831-464-3801
Practice Address - Fax:831-464-2737
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA381410174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA28548Medicare UPIN