Provider Demographics
NPI:1114972510
Name:HANSPAL, PRITHVI PAL SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:PRITHVI PAL
Middle Name:SINGH
Last Name:HANSPAL
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 1:283 WHITE OAK ST
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-5431
Mailing Address - Country:US
Mailing Address - Phone:336-625-3997
Mailing Address - Fax:336-625-5375
Practice Address - Street 1:283 WHITE OAK ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5431
Practice Address - Country:US
Practice Address - Phone:336-625-3997
Practice Address - Fax:336-625-5375
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24411208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8939108Medicaid
NC206998COtherPSC MEDICARE PROVIDER #
NCC88244Medicare UPIN
NC206998DMedicare PIN
NC206998COtherPSC MEDICARE PROVIDER #
NC206998Medicare PIN