Provider Demographics
NPI:1245335405
Name:SINGH, ANANTJIT (MD MPH FACC)
Entity type:Individual
Prefix:
First Name:ANANTJIT
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD MPH FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11544 DOWNEY AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241
Mailing Address - Country:US
Mailing Address - Phone:562-923-2466
Mailing Address - Fax:562-923-7209
Practice Address - Street 1:11544 DOWNEY AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241
Practice Address - Country:US
Practice Address - Phone:562-923-2466
Practice Address - Fax:562-923-7209
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA53927207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOA539270OtherBLUE SHIELD
CAA53927Medicare PIN
CAOOA539270OtherBLUE SHIELD