Provider Demographics
NPI:1619793312
Name:RAJVIR SINGH MD INC
Entity type:Organization
Organization Name:RAJVIR SINGH MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAJVIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:209-400-4318
Mailing Address - Street 1:999 S FAIRMONT AVE STE 135
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95240-5141
Mailing Address - Country:US
Mailing Address - Phone:209-224-5719
Mailing Address - Fax:209-691-9521
Practice Address - Street 1:999 S FAIRMONT AVE STE 135
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95240-5141
Practice Address - Country:US
Practice Address - Phone:209-224-5719
Practice Address - Fax:209-691-9521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty