1285487496 NPI number — MR. MANVEER SINGH MB BCH BAO

Table of content: MR. MANVEER SINGH MB BCH BAO (NPI 1285487496)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285487496 NPI number — MR. MANVEER SINGH MB BCH BAO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SINGH
Provider First Name:
MANVEER
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MB BCH BAO
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285487496
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/08/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
57 GENTLE FOX DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CALEDON
Provider Business Mailing Address State Name:
ONTARIO
Provider Business Mailing Address Postal Code:
L7C 3S6
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
825 FAIRFAX AVENUE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF INTERNAL MEDICINE, HOFFHEIMER HALL, EASTE
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-446-8920
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/08/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
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Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)