Provider Demographics
NPI:1235628090
Name:SINGH, KIRTI (PA-C)
Entity Type:Individual
Prefix:
First Name:KIRTI
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N TEXAS AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4934
Mailing Address - Country:US
Mailing Address - Phone:346-406-1846
Mailing Address - Fax:
Practice Address - Street 1:750 N TEXAS AVE STE 100
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4934
Practice Address - Country:US
Practice Address - Phone:346-406-1846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-08
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical