Provider Demographics
NPI:1639940851
Name:SHAM SINGH, M.D., INC
Entity Type:Organization
Organization Name:SHAM SINGH, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAM
Authorized Official - Middle Name:WEN
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-673-8240
Mailing Address - Street 1:811 W 7TH ST STE 1200
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-3423
Mailing Address - Country:US
Mailing Address - Phone:510-673-8240
Mailing Address - Fax:310-430-7324
Practice Address - Street 1:811 W 7TH ST
Practice Address - Street 2:SUITE 1200, OFFICE 1048
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-3423
Practice Address - Country:US
Practice Address - Phone:510-673-8240
Practice Address - Fax:310-430-7324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty