Basic Information
Provider Information
NPI: 1962603191
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: RAMANDEEP
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 740608
Address2:  
City: DALLAS
State: TX
PostalCode: 753740608
CountryCode: US
TelephoneNumber: 4693179900
FaxNumber:  
Practice Location
Address1: 7777 FOREST LN
Address2:  
City: DALLAS
State: TX
PostalCode: 752302571
CountryCode: US
TelephoneNumber: 9725667000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/28/2007
LastUpdateDate: 02/04/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/04/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X0101247289VAN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202XN5405TXY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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