Provider Demographics
NPI:1508802364
Name:SINGH, PARMINDER (MD)
Entity Type:Individual
Prefix:
First Name:PARMINDER
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 1:235 PARRISH RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CONNEAUT
Mailing Address - State:OH
Mailing Address - Zip Code:44030-2012
Mailing Address - Country:US
Mailing Address - Phone:440-593-6319
Mailing Address - Fax:440-593-6320
Practice Address - Street 1:235 PARRISH RD
Practice Address - Street 2:SUITE B
Practice Address - City:CONNEAUT
Practice Address - State:OH
Practice Address - Zip Code:44030-2012
Practice Address - Country:US
Practice Address - Phone:440-593-6319
Practice Address - Fax:440-593-6320
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35063689207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0908941Medicaid
OH0730783Medicare ID - Type Unspecified
OH0908941Medicaid