Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 2711322 | FL |
NPI | 1083640171 |
---|---|
Provider Name | Kaloutie Singh |
First Address | Palm Harbor, FL 34685-3330 |
Second Address | New Port Richey, FL 34654-3419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 08/07/2007 |