Provider Demographics
NPI:1588827448
Name:KABUL SINGH PHYSICIAN PC
Entity Type:Organization
Organization Name:KABUL SINGH PHYSICIAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KABUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-460-9395
Mailing Address - Street 1:43-73 UNION STREET
Mailing Address - Street 2:SUITE CA
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3063
Mailing Address - Country:US
Mailing Address - Phone:718-460-9395
Mailing Address - Fax:
Practice Address - Street 1:43-73 UNION STREET
Practice Address - Street 2:SUITE CA
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3063
Practice Address - Country:US
Practice Address - Phone:718-460-9395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182486207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF07272Medicare UPIN