Provider Demographics
NPI:1770674608
Name:SINGH, HARBANS (MD)
Entity Type:Individual
Prefix:
First Name:HARBANS
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 1:16041KAMANA RD
Mailing Address - Street 2:STE A
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307
Mailing Address - Country:US
Mailing Address - Phone:760-242-8251
Mailing Address - Fax:760-242-5811
Practice Address - Street 1:16041KAMANA RD
Practice Address - Street 2:STE A
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307
Practice Address - Country:US
Practice Address - Phone:760-242-8251
Practice Address - Fax:760-242-5811
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA32999207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A329990Medicaid
CAAP210Medicare PIN
CAA27005Medicare UPIN
CA00A329990Medicaid