Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 11474 | NV |
N | 207PE0004X | Emergency Medical Services | 11474 | NV |
NPI | 1073513529 |
---|---|
Provider Name | Sandesh K Singh |
First Address | Dallas, TX 75243-3405 |
Second Address | Las Vegas, NV 89128-0436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2005 |
Last Update Date | 28/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100507699 | (05) | NV |
I44422 | (02) |