Singh, Gautam K

Singh, Gautam K is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Singh, Gautam K can be contacted via phone (800) 653-6568.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (800) 653-6568
Fax: (313) 876-1305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 108179 Missouri
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 108179 Missouri
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 4301503589 Michigan

Profile Details

NPI number 1245258920
LBN Legal business name Singh, Gautam K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245258920 NPPES
Missouri MEDICAID 208027409
Missouri MEDICAID 1245258920
Missouri MEDICAID ENROLLED

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