Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 047332 | CT |
N | 111NI0900X | Internist | 047332 | CT |
NPI | 1003055021 |
---|---|
Provider Name | Gagandeep Singh |
First Address | Hartford, CT 06105-1770 |
Second Address | Hartford, CT 06105-1208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2009 |
Last Update Date | 11/11/2021 |