Provider Demographics
NPI:1154182962
Name:SINGH, SUKANYA (MS, RD)
Entity type:Individual
Prefix:
First Name:SUKANYA
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 BERRENDO DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-3119
Mailing Address - Country:US
Mailing Address - Phone:408-824-4305
Mailing Address - Fax:
Practice Address - Street 1:181 BERRENDO DR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-3119
Practice Address - Country:US
Practice Address - Phone:408-824-4305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-18
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1096138133V00000X
1096138133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty