Provider Demographics
NPI:1265506075
Name:SINGH, KULDIP KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:KULDIP
Middle Name:KAUR
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 MONTGOMERY RD
Mailing Address - Street 2:SUITE 16-A
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-7789
Mailing Address - Country:US
Mailing Address - Phone:513-791-6767
Mailing Address - Fax:513-791-6796
Practice Address - Street 1:9200 MONTGOMERY RD
Practice Address - Street 2:SUITE 16-A
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-7789
Practice Address - Country:US
Practice Address - Phone:513-791-6767
Practice Address - Fax:513-791-6796
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-03-9136S2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0391884Medicaid
OH0391884Medicaid
OHKU 9198413Medicare ID - Type Unspecified