Basic Information
Provider Information
NPI: 1235582610
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: CHARANJEET
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 320 E NORTH AVE
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152124756
CountryCode: US
TelephoneNumber: 4123592459
FaxNumber: 4123598233
Practice Location
Address1: 330 CEDAR ST
Address2:  
City: NEW HAVEN
State: CT
PostalCode: 065103218
CountryCode: US
TelephoneNumber: 2037852385
FaxNumber: 2037953024
Other Information
ProviderEnumerationDate: 07/20/2016
LastUpdateDate: 07/13/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/13/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207U00000XMD457520PAN Allopathic & Osteopathic PhysiciansNuclear Medicine 
207UN0901XMD467520PAN Allopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
2085R0202XMD467520PAN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202X70360CTY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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