Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | GETP.TUL.NS | LA |
Y | 207T00000X | Neurosurgeon | MD.206363 | LA |
NPI | 1013187756 |
---|---|
Provider Name | Mr. Manish Kumar Singh |
First Address | Atlanta, GA 31192 |
Second Address | Metairie, LA 70002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2008 |
Last Update Date | 28/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
920425011/705964 | UNITED HEALTHCARE (01) | LA |