1326168766 NPI number — ABHAI SINGH M.D.

Table of content: ABHAI SINGH M.D. (NPI 1326168766)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326168766 NPI number — ABHAI SINGH M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SINGH
Provider First Name:
ABHAI
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
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:
1326168766
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
215 LOGAN ST
Provider Second Line Business Mailing Address:
STE 22
Provider Business Mailing Address City Name:
WILLIAMSON
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25661-3600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-899-2330
Provider Business Mailing Address Fax Number:
304-899-2332

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
215 LOGAN ST
Provider Second Line Business Practice Location Address:
STE 22
Provider Business Practice Location Address City Name:
WILLIAMSON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25661-3600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-899-2330
Provider Business Practice Location Address Fax Number:
304-899-2332
Provider Enumeration Date:
03/30/2007

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: 207RG0100X , with the licence number:  24048 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 002509459 . This is a "HIGHMARK ANTHEM BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 1124348628 . This is a "GROUP NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10786106 . This is a "CAQH ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3850159 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 87852 . This is a "COVENTRY CARES (KY MEDICAID HMO)" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 3810017938 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".




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