Provider Demographics
NPI:1558793794
Name:SINGH, KAMALDEEP (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAMALDEEP
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KAMALDEEP
Other - Middle Name:KAUR
Other - Last Name:PUDDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1400 W STATE ST
Mailing Address - Street 2:BUILDING B, SUITE C
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-3438
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1400 W STATE ST
Practice Address - Street 2:BUILDING B, SUITE C
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-3438
Practice Address - Country:US
Practice Address - Phone:765-494-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26025073A1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist