Provider Demographics
NPI:1548332521
Name:SINGH, KARANJIT (MD)
Entity type:Individual
Prefix:
First Name:KARANJIT
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1730 PRAIRIE CITY RD STE 120
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-9594
Practice Address - Country:US
Practice Address - Phone:916-351-4800
Practice Address - Fax:916-357-6194
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA53685207RC0000X, 207UN0901X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ47675ZOtherBLUE SHIELD
CAGR0068231Medicaid
CAGR0068235Medicaid
CAZZZ47673ZOtherBLUE SHIELD
CAGR0068230Medicaid
CAZZZ62306ZOtherBLUE SHIELD
CA00A536850Medicaid
CA060086343OtherRAILROAD MEDICARE
CAGR0068232Medicaid
CAGR006823BMedicaid
CAGR0068233Medicaid
CAZZZ47676ZOtherBLUE SHIELD
CAGR0068235Medicaid
CA00A536850Medicaid
H02402Medicare UPIN
CAGR0068230Medicaid
CAZZZ28052ZMedicare PIN
CAZZZ00966ZMedicare PIN
CAZZZ00965ZMedicare PIN
CAZZZ00968ZMedicare PIN