Individual
RAVI SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15405 LOS GATOS BLVD, STE 104, LOS GATOS, CA 95032-2500
(408) 402-0770
Mailing address
15405 LOS GATOS BLVD, SUITE 104, LOS GATOS, CA 95032-2500
(408) 402-0770
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.118127
IL
2085R0202X
Diagnostic Radiology Physician
Primary
A107654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.118127
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
—
A107654
THE MEDICAL BOARD OF CALIFORNIA
CA
01
—
BV669V
MEDICARE PTAN
CA
Enumeration date
08/07/2008
Last updated
03/20/2012
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