1942308655 NPI number — DR. HIMANSHU SINGH MD

Table of content: DR. HIMANSHU SINGH MD (NPI 1942308655)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942308655 NPI number — DR. HIMANSHU SINGH MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SINGH
Provider First Name:
HIMANSHU
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1942308655
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
291 MOODY ST
Provider Second Line Business Mailing Address:
PER SE TECHNOLOGIES
Provider Business Mailing Address City Name:
LUDLOW
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01056-1246
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-866-6663
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
789 CENTRAL AVE
Provider Second Line Business Practice Location Address:
WENTWORTH DOUGLASS HOSPITAL
Provider Business Practice Location Address City Name:
DOVER
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03820-2526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-742-8787
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/20/2006

Additional Information

			
		

Authorized Official

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

Provider Taxonomy Codes

  • Taxonomy code: 2085R0001X , with the licence number:  10919 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 7904218 . This is a "AETNA" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: NH2005 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 01T002730NH01 . This is a "ANTHEM BCBS" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 64865 . This is a "CIGNA" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: NH2005 . This is a "FIRST SENIORITY" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 1002730 . This is a "HMO BLUE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 2400068 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 30201044 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0109126 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1002730 . This is a "BLUE CHOICE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 51191 . This is a "MATTHEW THORNTON" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 77848 . This is a "HEALTHY START" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 010919 . This is a "TUFTS" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".