Provider Demographics
NPI:1760477202
Name:SINGH, NARENDRA (MD)
Entity Type:Individual
Prefix:
First Name:NARENDRA
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 1:5400 LAUREL SPRINGS PKWY STE 1401
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6098
Mailing Address - Country:US
Mailing Address - Phone:678-208-0165
Mailing Address - Fax:404-845-4730
Practice Address - Street 1:5400 LAUREL SPRINGS PKWY STE 1401
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30024-6098
Practice Address - Country:US
Practice Address - Phone:678-208-0165
Practice Address - Fax:404-845-4730
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA037905207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
581339745OtherTAX ID#
GA00944611AMedicaid
581339745OtherTAX ID#
GAH56281Medicare UPIN