Provider Demographics
NPI:1417117581
Name:SINGH, INDER M (MD, MS)
Entity type:Individual
Prefix:DR
First Name:INDER
Middle Name:M
Last Name:SINGH
Suffix:
Gender:
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 THORNBLADE CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-4684
Mailing Address - Country:US
Mailing Address - Phone:317-441-4842
Mailing Address - Fax:
Practice Address - Street 1:500 UNIVERSITY AVE STE 250
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6525
Practice Address - Country:US
Practice Address - Phone:916-680-9510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA112871207RC0000X, 207RI0011X, 207RI0011X
TXT3882207RI0011X, 207RI0011X
AZ65604207RI0011X, 207RC0000X
CODR.0069095207RI0011X
MN104497207RC0000X
NV21710207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNENROLLEDMedicaid
AZ125332Medicaid