Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | R22085 | NM |
NPI | 1588873301 |
---|---|
Provider Name | Karim Singh |
First Address | Athens, GA 30604-5719 |
Second Address | Las Cruces, NM 88011-5069 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 27/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
70035369 | (05) | NM |
Q03322 | (02) | NM |