Provider Demographics
NPI:1992984371
Name:ADHIR R. SINGH
Entity type:Organization
Organization Name:ADHIR R. SINGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADHIR
Authorized Official - Middle Name:RAVIRAJ
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:209-550-5893
Mailing Address - Street 1:730 16TH ST
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95354-2519
Mailing Address - Country:US
Mailing Address - Phone:209-550-5893
Mailing Address - Fax:209-550-0171
Practice Address - Street 1:730 16TH ST
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95354-2519
Practice Address - Country:US
Practice Address - Phone:209-550-5893
Practice Address - Fax:209-550-0171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3754332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4146460001Medicare NSC