1316137136 NPI number — SIDDHARTH SINGH MBBS

Table of content: SIDDHARTH SINGH MBBS (NPI 1316137136)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316137136 NPI number — SIDDHARTH SINGH MBBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SINGH
Provider First Name:
SIDDHARTH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MBBS
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:
1316137136
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/30/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BANNER- UNIVERSITY HEART INSTITUTE
Provider Second Line Business Mailing Address:
755 E MCDOWELL ROAD, FLOOR 4
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85006-0717
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-521-3090
Provider Business Mailing Address Fax Number:
602-521-3661

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8700 BEVERLY BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST HOLLYWOOD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90048-1804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-423-2726
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/27/2007

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: 207RC0000X , with the licence number:  73332 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 73332 . This is a "INTERNAL MEDICINE- CARDIOLOGY" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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