Provider Demographics
NPI:1538111661
Name:AULUCK, HARINDER SINGH (MD)
Entity Type:Individual
Prefix:MR
First Name:HARINDER
Middle Name:SINGH
Last Name:AULUCK
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:PO BOX 2692
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-7692
Mailing Address - Country:US
Mailing Address - Phone:707-253-5493
Mailing Address - Fax:707-649-4077
Practice Address - Street 1:1440 MILITARY WEST
Practice Address - Street 2:SUITE 201 B
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-2449
Practice Address - Country:US
Practice Address - Phone:707-556-7074
Practice Address - Fax:707-649-4077
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2024-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA0427712084P0800X
CAA427712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOA427710Medicaid
CAA42771OtherCA, MEDICAL BOARD OF
CAA88599Medicare UPIN
00A427710Medicare ID - Type Unspecified
CAOOA427710Medicaid