Provider Demographics
NPI:1174632962
Name:PARBHUR SINGH MD
Entity Type:Organization
Organization Name:PARBHUR SINGH MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PARBHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-363-1948
Mailing Address - Street 1:1020 INDEPENDENCE BLVD STE 213B
Mailing Address - Street 2:
Mailing Address - City:VA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5542
Mailing Address - Country:US
Mailing Address - Phone:757-363-1948
Mailing Address - Fax:757-363-8774
Practice Address - Street 1:1020 INDEPENDENCE BLVD STE 213B
Practice Address - Street 2:
Practice Address - City:VA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5542
Practice Address - Country:US
Practice Address - Phone:757-363-1948
Practice Address - Fax:757-363-8774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101030667207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C36655Medicare UPIN