Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 197879 | AZ |
NPI | 1033148358 |
---|---|
Provider Name | Vipul R Singh |
First Address | Phoenix, AZ 85012-1839 |
Second Address | Phoenix, AZ 85012-1839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 09/12/2010 |