Individual
DR. GAURAVJIT SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 N CALIFORNIA ST, STOCKTON, CA 95204-6005
(209) 946-6800
(209) 946-6805
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A97258
CA
Other
Enumeration date
04/19/2007
Last updated
10/26/2018
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