Basic Information
| Provider Information | |||||||||
| NPI: | 1053715375 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HARDAYAL SINGH MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3410 EXECUTIVE DR | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276097450 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198725296 | ||||||||
| FaxNumber: | 9198780814 | ||||||||
| Practice Location | |||||||||
| Address1: | 110 PATRICK CT | ||||||||
| Address2: | |||||||||
| City: | ROCKY MOUNT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 278048755 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2524430400 | ||||||||
| FaxNumber: | 2524430572 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/15/2014 | ||||||||
| LastUpdateDate: | 02/04/2021 | ||||||||
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| AuthorizedOfficialLastName: | SINGH | ||||||||
| AuthorizedOfficialFirstName: | HARDAYAL | ||||||||
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| AuthorizedOfficialTitleorPosition: | MD, OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9198725296 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 02/04/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 200400749 | NC | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.