Provider Demographics
NPI:1841268026
Name:SINGH, PAUL S (DO)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:S
Last Name:SINGH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2240
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93581-2240
Mailing Address - Country:US
Mailing Address - Phone:661-822-5811
Mailing Address - Fax:661-822-5828
Practice Address - Street 1:276C S MILL ST
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-1628
Practice Address - Country:US
Practice Address - Phone:661-822-5811
Practice Address - Fax:661-822-5828
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7851207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX7851Medicaid
CA00AX7851Medicaid