Basic Information
Provider Information
NPI: 1518055466
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: SUNILJIT
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 CARMEN AVE
Address2: APT 6
City: EAST MEADOW
State: NY
PostalCode: 11554
CountryCode: US
TelephoneNumber: 5164146745
FaxNumber:  
Practice Location
Address1: 283 ROY CAMPBELL DR
Address2:  
City: HAZARD
State: KY
PostalCode: 41701
CountryCode: US
TelephoneNumber: 6064351708
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/10/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X40528KYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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