Provider Demographics
NPI:1023107976
Name:HUNDAL, RANJIT SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:RANJIT
Middle Name:SINGH
Last Name:HUNDAL
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 1:180 ROWLAND WAY
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-5009
Mailing Address - Country:US
Mailing Address - Phone:415-209-1300
Mailing Address - Fax:
Practice Address - Street 1:180 ROWLAND WAY
Practice Address - Street 2:NOVATO COMMUNITY HOSPITAL 180 ROWLAND WAY
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-1108
Practice Address - Country:US
Practice Address - Phone:415-209-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76830207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH85855Medicare UPIN