Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | D62592 | MD |
N | 2080P0201X | Pediatric Allergist | D62592 | MD |
NPI | 1801996079 |
---|---|
Provider Name | Dr. Manav Singla |
First Address | White Marsh, MD 21162-5503 |
Second Address | White Marsh, MD 21162-5500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 12/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I15818 | (02) |