Basic Information
Provider Information
NPI: 1649410515
EntityType: 2
ReplacementNPI:  
OrganizationName: INTEGRAL HEALTHCARE LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14690 SPRING HILL DR
Address2: SUITE 101
City: SPRING HILL
State: FL
PostalCode: 346098102
CountryCode: US
TelephoneNumber: 3527990046
FaxNumber: 3527990115
Practice Location
Address1: 5350 SPRING HILL DR
Address2:  
City: SPRING HILL
State: FL
PostalCode: 346064562
CountryCode: US
TelephoneNumber: 3527990046
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/04/2009
LastUpdateDate: 03/07/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SINGH
AuthorizedOfficialFirstName: PARIKSITH
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 3526888116
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XME71088FLY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home