Provider Demographics
NPI:1821046319
Name:SINGH, CHARAN K (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARAN
Middle Name:K
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2243 MOWRY AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1630
Mailing Address - Country:US
Mailing Address - Phone:510-795-8000
Mailing Address - Fax:510-795-8001
Practice Address - Street 1:2243 MOWRY AVE
Practice Address - Street 2:SUITE D
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1630
Practice Address - Country:US
Practice Address - Phone:510-795-8000
Practice Address - Fax:510-795-8001
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABS35158642084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA610338100OtherWORKMAN'S COMPENSATION
CA610338100OtherWORKMAN'S COMPENSATION
CAF98152Medicare UPIN