Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | K7101 | IL |
NPI | 1114088689 |
---|---|
Provider Name | Kamaljit Singh |
First Address | Houston, TX 77041-7309 |
Second Address | Beaumont, TX 77702-1809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I15375 | (02) | IL |