Provider Demographics
NPI:1821364209
Name:SINGH, HARCHARAN (MD)
Entity Type:Individual
Prefix:
First Name:HARCHARAN
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 1:111 ,E .THIRD AVE .
Mailing Address - Street 2:GASTON FAMILY MEDICAL CENTER,
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052
Mailing Address - Country:US
Mailing Address - Phone:704-874-9010
Mailing Address - Fax:
Practice Address - Street 1:111 E.THIRD AVENUE
Practice Address - Street 2:GASTON FAMILY MEDICAL CENTER,
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052
Practice Address - Country:US
Practice Address - Phone:704-874-9010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01768207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology