Provider Demographics
NPI:1861495558
Name:SINGH, HARVINDER PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVINDER
Middle Name:PAUL
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:PO BOX 150036
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49515-0036
Mailing Address - Country:US
Mailing Address - Phone:616-456-9553
Mailing Address - Fax:616-454-5371
Practice Address - Street 1:743 E BELTLINE AVE NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-6045
Practice Address - Country:US
Practice Address - Phone:616-754-9146
Practice Address - Fax:616-454-5371
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301062163207RI0011X
MI5315004659207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI102939353Medicaid
MI104786834Medicaid
MI104786834Medicaid
MI102939353Medicaid