Provider Demographics
NPI:1790749240
Name:SINGH, GURCHARAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GURCHARAN
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 1:1974 HERITAGE RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-7814
Mailing Address - Country:US
Mailing Address - Phone:215-342-4777
Mailing Address - Fax:215-947-9304
Practice Address - Street 1:1974 HERITAGE RD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-7814
Practice Address - Country:US
Practice Address - Phone:215-342-4777
Practice Address - Fax:215-947-9304
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018162E208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA03199OtherHEALTH PARTNER
PA242202OtherMAMSI
PA32452OtherHEALTH PARTNER
PA0048057000OtherPERSONAL CHOICE
PA48753OtherKEYSTONE MERCY
PA4076163OtherAETNA
PA00776268-01OtherAMERICHOICE
PA0776268OtherMEDICAL ASSISTANCE
PA0048057000OtherBLUE SHIELD
PA6822620BOtherCIGNA
PA0048057000OtherKEYSTONE HEALTH PLAN EAST
PA0048057000OtherAMERIHEALTH
PAP612177OtherOXFORD HEALTH PLANS
PA0368741Medicaid
PA6822620BOtherCIGNA
PA075177Medicare ID - Type Unspecified