Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 010657 | CT |
Y | 213EG0000X | General Practice | 010657 | CT |
NPI | 1003136730 |
---|---|
Provider Name | Kanwalpreet Singh |
First Address | Hartford, CT 06106-1541 |
Second Address | Hartford, CT 06106-1541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2010 |
Last Update Date | 29/02/2012 |