Provider Demographics
NPI:1396987194
Name:SINGH, PARUL WALIA (MD)
Entity type:Individual
Prefix:
First Name:PARUL
Middle Name:WALIA
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PARUL
Other - Middle Name:WALIA
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:588 N SUNRISE AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-2843
Mailing Address - Country:US
Mailing Address - Phone:916-781-9885
Mailing Address - Fax:916-781-7923
Practice Address - Street 1:588 N SUNRISE AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-2843
Practice Address - Country:US
Practice Address - Phone:916-781-9885
Practice Address - Fax:916-781-7923
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-26
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT194278207Q00000X
CAA121520207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine