Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 61681 | AZ |
NPI | 1972038024 |
---|---|
Provider Name | Dr. Herman Kaur Singh |
First Address | Phoenix, AZ 85004-1021 |
Second Address | Phoenix, AZ 85004-1021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2017 |
Last Update Date | 05/10/2021 |