Provider Demographics
NPI:1740338771
Name:SINGH, RAVINDERJIT KAUR (MD)
Entity type:Individual
Prefix:
First Name:RAVINDERJIT
Middle Name:KAUR
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9900 STOCKDALE HWY
Mailing Address - Street 2:STE 205
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-3634
Mailing Address - Country:US
Mailing Address - Phone:661-588-6267
Mailing Address - Fax:
Practice Address - Street 1:9900 STOCKDALE HWY
Practice Address - Street 2:SUITE 205
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3632
Practice Address - Country:US
Practice Address - Phone:661-817-5988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93256207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGD750AOtherPTAN