Provider Demographics
NPI:1063454007
Name:SINGH, HARNOOR (MD)
Entity Type:Individual
Prefix:DR
First Name:HARNOOR
Middle Name:
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 1:6431 FANNIN ST.
Mailing Address - Street 2:MSB 2.130
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-500-7700
Mailing Address - Fax:
Practice Address - Street 1:6411 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-704-4294
Practice Address - Fax:806-356-8687
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN66682085R0202X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA36628OtherMEDICAL LICENSE
IA1063454007Medicaid
TX342918503Medicaid
IA1063454007OtherMEDICAID..... UIQC....OCTC.......SEIC........NL
TXP01829265OtherRAILROAD
IAP00426125OtherRR MEDICARE
IAI20370Medicare PIN
IA1063454007OtherMEDICAID..... UIQC....OCTC.......SEIC........NL
IA1063454007Medicaid
IAI1421005Medicare PIN
TX342918503Medicaid
IAP00426121Medicare PIN