Basic Information
Provider Information
NPI: 1801273701
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGLA
FirstName: RAJESH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential:  
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OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: DEPT 34929
Address2: P.O. BOX 39000
City: SAN FRANCISCO
State: CA
PostalCode: 941390001
CountryCode: US
TelephoneNumber: 9259522828
FaxNumber: 9259522850
Practice Location
Address1: 1450 TREAT BLVD
Address2: SUITE 220A
City: WALNUT CREEK
State: CA
PostalCode: 945972168
CountryCode: US
TelephoneNumber: 9252969757
FaxNumber: 9252969052
Other Information
ProviderEnumerationDate: 04/29/2015
LastUpdateDate: 11/18/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000XA133480CAN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207Q00000XA133480CAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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