Provider Demographics
NPI:1043221328
Name:SINGH, PAUL GULSHARAN (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:GULSHARAN
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 828
Mailing Address - Street 2:
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-0828
Mailing Address - Country:US
Mailing Address - Phone:910-997-3733
Mailing Address - Fax:910-997-3707
Practice Address - Street 1:809 SOUTH LONG DRIVE
Practice Address - Street 2:SUITE G
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-4375
Practice Address - Country:US
Practice Address - Phone:910-997-3733
Practice Address - Fax:910-997-3707
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428809208100000X
NC200700719208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6377100001OtherDMEPOS
NC199298OtherMEDCOST
NC1758397OtherUHC/MAMSI
NC145F2OtherBCBSNC
NC4736945OtherCIGNA
NC7839855OtherAETNA
NC5907274Medicaid
NC145F2OtherBCBSNC
NC199298OtherMEDCOST