Provider Demographics
NPI:1558446039
Name:SINGHANIA, SUNIL KUMAR (DO)
Entity Type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:KUMAR
Last Name:SINGHANIA
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1245 WILSHIRE BLVD
Mailing Address - Street 2:STE 607
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-4806
Mailing Address - Country:US
Mailing Address - Phone:213-977-0187
Mailing Address - Fax:213-977-1312
Practice Address - Street 1:4650 LINCOLN BLVD
Practice Address - Street 2:SPORTS CONCUSSION INSTITUTE
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-6306
Practice Address - Country:US
Practice Address - Phone:310-577-5505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2016-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A7742207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH81736Medicare UPIN