Basic Information
Provider Information
NPI: 1891968053
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: MADHURMEET
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 120 E 2ND ST FL 2
Address2: 2ND FLOOR
City: ERIE
State: PA
PostalCode: 165071579
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 120 E 2ND ST FL 2
Address2: 2ND FLOOR
City: ERIE
State: PA
PostalCode: 165071579
CountryCode: US
TelephoneNumber: 8144568980
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/09/2008
LastUpdateDate: 04/06/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/13/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0001XOS015323PAY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

No ID Information.


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