Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 036098279 | IL |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 17258 | NV |
NPI | 1124061288 |
---|---|
Provider Name | Harbinder Singh |
First Address | Sparks, NV 89434 |
Second Address | Las Vegas, NV 89118-1878 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 28/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1124061288 | (05) | NV |