Provider Demographics
NPI:1366881757
Name:MUNDI, AMEEK SINGH (DO)
Entity type:Individual
Prefix:DR
First Name:AMEEK
Middle Name:SINGH
Last Name:MUNDI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3860 BLACKHAWK RD STE 120
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94506-4832
Mailing Address - Country:US
Mailing Address - Phone:925-264-4069
Mailing Address - Fax:
Practice Address - Street 1:3860 BLACKHAWK RD STE 120
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94506
Practice Address - Country:US
Practice Address - Phone:925-264-4069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO31022084P0800X
CA20A156262084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry