Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 247437 | NY |
N | 111NI0900X | Internist | 247437 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | MD440085 | PA |
Y | 207RI0011X | Interventional Cardiology | MD440085 | PA |
NPI | 1003094582 |
---|---|
Provider Name | Gurpal Singh |
First Address | Hanover, PA 17331-2276 |
Second Address | Hanover, PA 17331-2276 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2008 |
Last Update Date | 06/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102739417 | (05) | PA |