Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 2017-01059 | NC |
N | 207RC0000X | Internist - Cardiovascular Disease | 51458 | SC |
NPI | 1023246485 |
---|---|
Provider Name | Jai Singh |
First Address | Charlotte, NC 28219-9305 |
Second Address | Charlotte, NC 28204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2009 |
Last Update Date | 29/09/2021 |