Basic Information
Provider Information
NPI: 1154507903
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOHI
FirstName: SAMEET
MiddleName: SINGH
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6420 DUTCHMANS PKWY
Address2: #380
City: LOUISVILLE
State: KY
PostalCode: 402053372
CountryCode: US
TelephoneNumber: 5028948441
FaxNumber: 5028944453
Practice Location
Address1: 6420 DUTCHMANS PKWY
Address2: #380
City: LOUISVILLE
State: KY
PostalCode: 402053372
CountryCode: US
TelephoneNumber: 5028948441
FaxNumber: 5028948443
Other Information
ProviderEnumerationDate: 01/10/2008
LastUpdateDate: 01/12/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000XTP865KYY Allopathic & Osteopathic PhysiciansOtolaryngology 

No ID Information.


Home