Provider Demographics
NPI:1316120157
Name:WALIA, SUKHPREET SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:SUKHPREET
Middle Name:SINGH
Last Name:WALIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4005 MISSION OAKS BLVD
Mailing Address - Street 2:UNIT A
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-5156
Mailing Address - Country:US
Mailing Address - Phone:909-558-4636
Mailing Address - Fax:
Practice Address - Street 1:2241 WANKEL WAY
Practice Address - Street 2:STE A
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-0191
Practice Address - Country:US
Practice Address - Phone:805-983-0521
Practice Address - Fax:805-983-4186
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-16
Last Update Date:2018-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA100753207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine