Provider Demographics
NPI:1720531726
Name:VIRK, INDERPREET SINGH (MD)
Entity Type:Individual
Prefix:
First Name:INDERPREET
Middle Name:SINGH
Last Name:VIRK
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 1:3583 VISTA DE MADERA
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-7935
Mailing Address - Country:US
Mailing Address - Phone:669-226-1571
Mailing Address - Fax:
Practice Address - Street 1:CALIFORNIA MEDICAL FACILITY
Practice Address - Street 2:1600 CALIFORNIA DRIVE
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687
Practice Address - Country:US
Practice Address - Phone:692-261-1571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-27
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1616442084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry