Basic Information
| Provider Information | |||||||||
| NPI: | 1588741326 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINGH | ||||||||
| FirstName: | SABINA | ||||||||
| MiddleName: | B | ||||||||
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| Mailing Information | |||||||||
| Address1: | SABINA B SINGH ST CHRISTOPHER'S HOSPITAL FOR CHILDREN | ||||||||
| Address2: | ERIE AVE AT FRONT ST DEPT OF EMERGENCY MEDICINE RM 118 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191341095 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154275366 | ||||||||
| FaxNumber: | 2154274668 | ||||||||
| Practice Location | |||||||||
| Address1: | 3601 A ST | ||||||||
| Address2: | DEPT OF EMERGENCY MEDICINE RM 118 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191341043 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154275366 | ||||||||
| FaxNumber: | 2154274668 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207PP0204X | MD 065801L | PA | X | Allopathic & Osteopathic Physicians | Emergency Medicine | Pediatric Emergency Medicine | 208000000X | MD 065801L | PA | X | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 10670842 | 01 | CAQH | OTHER |