Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 12772 | NV |
NPI | 1013114628 |
---|---|
Provider Name | Dr. Surjeet Singh |
First Address | Henderson, NV 89012-5731 |
Second Address | Las Vegas, NV 89106-4145 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 26/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013114628 | (05) | NV |