Provider Demographics
NPI:1417927732
Name:SINGH, GURMEET (MD)
Entity Type:Individual
Prefix:DR
First Name:GURMEET
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 1:1113 S STATE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-4112
Mailing Address - Country:US
Mailing Address - Phone:302-734-7676
Mailing Address - Fax:302-734-7615
Practice Address - Street 1:1113 S STATE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-4112
Practice Address - Country:US
Practice Address - Phone:302-734-7676
Practice Address - Fax:302-734-7615
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC2-0005722207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0001010503Medicaid
DEG15663Medicare UPIN
DE004098D78Medicare ID - Type Unspecified