Provider Demographics
NPI:1760676159
Name:ROWAN GASTROENTEROLOGY, PC
Entity Type:Organization
Organization Name:ROWAN GASTROENTEROLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAULAT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:HALDEA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-636-0995
Mailing Address - Street 1:310 MOCKSVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-3328
Mailing Address - Country:US
Mailing Address - Phone:704-636-0995
Mailing Address - Fax:704-636-1934
Practice Address - Street 1:310 MOCKSVILLE AVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-3328
Practice Address - Country:US
Practice Address - Phone:704-636-0995
Practice Address - Fax:704-636-1934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1174574750OtherSOLO NPI
NCB15744Medicare UPIN