Provider Demographics
NPI:1255852422
Name:SINGH, GURTEJ (MD)
Entity Type:Individual
Prefix:
First Name:GURTEJ
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21214 NORTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2105
Mailing Address - Country:US
Mailing Address - Phone:832-912-3500
Mailing Address - Fax:832-912-3778
Practice Address - Street 1:21214 NORTHWEST FWY
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2105
Practice Address - Country:US
Practice Address - Phone:832-912-3500
Practice Address - Fax:832-912-3778
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20170210352084N0400X
VA01012721842084N0400X
TXU30202084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2017021035OtherMO BOARD OF HEALING ARTS LICENSE
TXU3020OtherTEXAS MEDICAL LICENSE