Basic Information
| Provider Information | |||||||||
| NPI: | 1326001819 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CENTER FOR DIGESTIVE DISEASES AND CARY ENDOSCOPY CENTER, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1120 SE CARY PKWY | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | CARY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275187410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198540041 | ||||||||
| FaxNumber: | 9198540049 | ||||||||
| Practice Location | |||||||||
| Address1: | 1120 SE CARY PKWY | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | CARY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198540041 | ||||||||
| FaxNumber: | 9198540049 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/07/2006 | ||||||||
| LastUpdateDate: | 08/06/2018 | ||||||||
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| AuthorizedOfficialLastName: | SINGH | ||||||||
| AuthorizedOfficialFirstName: | HARMINDER | ||||||||
| AuthorizedOfficialMiddleName: | PAUL | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9198540041 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | AS0072 | NC | N | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical | 207RG0100X | 83737/131392 | NC | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.