Provider Demographics
NPI:1326168766
Name:SINGH, ABHAI (MD)
Entity Type:Individual
Prefix:
First Name:ABHAI
Middle Name:
Last Name:SINGH
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 1:215 LOGAN ST
Mailing Address - Street 2:STE 22
Mailing Address - City:WILLIAMSON
Mailing Address - State:WV
Mailing Address - Zip Code:25661-3600
Mailing Address - Country:US
Mailing Address - Phone:304-899-2330
Mailing Address - Fax:304-899-2332
Practice Address - Street 1:215 LOGAN ST
Practice Address - Street 2:STE 22
Practice Address - City:WILLIAMSON
Practice Address - State:WV
Practice Address - Zip Code:25661-3600
Practice Address - Country:US
Practice Address - Phone:304-899-2330
Practice Address - Fax:304-899-2332
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV24048207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV002509459OtherHIGHMARK ANTHEM BLUE CROSS BLUE SHIELD
1124348628OtherGROUP NPI
10786106OtherCAQH ID
3850159OtherCIGNA
KY87852OtherCOVENTRY CARES (KY MEDICAID HMO)
WV3810017938Medicaid
WV002509459OtherHIGHMARK ANTHEM BLUE CROSS BLUE SHIELD