Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME104180 | FL |
N | 111NI0900X | Internist | ME104180 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | ME104180 | FL |
Y | 207RI0011X | Interventional Cardiology | ME104180 | FL |
N | 2086S0129X | Vascular Surgeon | ME104180 | FL |
NPI | 1114113719 |
---|---|
Provider Name | Premranjan P. Singh |
First Address | Ocala, FL 34471 |
Second Address | Ocala, FL 34476-5575 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2007 |
Last Update Date | 19/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001968100 | (05) | FL |
H34471 | (02) | FL |