Provider Demographics
NPI:1639659790
Name:SINGHAL, SONIA TRIVEDI (LM, CPM)
Entity Type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:TRIVEDI
Last Name:SINGHAL
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3585 MONROE ST APT 400
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-7784
Mailing Address - Country:US
Mailing Address - Phone:310-529-8643
Mailing Address - Fax:
Practice Address - Street 1:3585 MONROE ST APT 400
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-7784
Practice Address - Country:US
Practice Address - Phone:310-529-8643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM468176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife