Basic Information
Provider Information
NPI: 1336670512
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: CHAHAIT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 155 E 29TH ST APT 3E
Address2:  
City: NEW YORK
State: NY
PostalCode: 100168121
CountryCode: US
TelephoneNumber: 5168161648
FaxNumber:  
Practice Location
Address1: 234 E 149TH ST
Address2:  
City: BRONX
State: NY
PostalCode: 104515504
CountryCode: US
TelephoneNumber: 7185794739
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/21/2017
LastUpdateDate: 03/21/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  Y HospitalsGeneral Acute Care Hospital 

No ID Information.


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