Provider Demographics
NPI:1538477658
Name:SINGH, INDERJIT (MD)
Entity Type:Individual
Prefix:
First Name:INDERJIT
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 1:300 CEDAR STREET
Mailing Address - Street 2:TAC-441 SOUTH
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519
Mailing Address - Country:US
Mailing Address - Phone:203-785-3207
Mailing Address - Fax:203-785-3826
Practice Address - Street 1:300 CEDAR STREET
Practice Address - Street 2:TAC-441 SOUTH
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519
Practice Address - Country:US
Practice Address - Phone:203-785-3207
Practice Address - Fax:203-785-3826
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT57321207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease