Provider Demographics
NPI:1265060461
Name:SINGH, AKSHAYA KANNAN (MD)
Entity type:Individual
Prefix:
First Name:AKSHAYA
Middle Name:KANNAN
Last Name:SINGH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:AKSHAYA
Other - Middle Name:SURESH
Other - Last Name:KANNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1855 4TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2350
Mailing Address - Country:US
Mailing Address - Phone:415-353-3400
Mailing Address - Fax:
Practice Address - Street 1:1855 4TH ST FL 3
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2350
Practice Address - Country:US
Practice Address - Phone:415-353-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME168027207V00000X
CAA191818207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL124141800Medicaid
FLKO563OtherBLUE CROSS BLUE SHIELD