Basic Information
Provider Information
NPI: 1881859833
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: PREET
MiddleName: PAUL
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1025 S. SIXTH
Address2:  
City: SPRINGFIELD
State: IL
PostalCode: 62703
CountryCode: US
TelephoneNumber: 2175287541
FaxNumber: 2175288962
Practice Location
Address1: 900 N 1ST ST
Address2:  
City: SPRINGFIELD
State: IL
PostalCode: 627023749
CountryCode: US
TelephoneNumber: 2175287541
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/18/2008
LastUpdateDate: 05/20/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/20/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003X036140585ILY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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