1366623308 NPI number — RAM K SINGH M D LTD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366623308 NPI number — RAM K SINGH M D LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RAM K SINGH M D LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ADVANCED HEART & VASCULAR SPECIALIS
Provider Other Organization Name Type Code:
3
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:
1366623308
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/07/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5 AWBREY CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HENDERSON
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89052-6707
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-733-2982
Provider Business Mailing Address Fax Number:
702-733-3824

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4432 S EASTERN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89119-7825
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-733-2982
Provider Business Practice Location Address Fax Number:
702-733-3824
Provider Enumeration Date:
11/19/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SINGH
Authorized Official First Name:
RAM
Authorized Official Middle Name:
K
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
702-556-9800

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RI0011X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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