Provider Demographics
NPI:1922494491
Name:SINGH DHAM, SAHIB
Entity Type:Individual
Prefix:
First Name:SAHIB
Middle Name:
Last Name:SINGH DHAM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 ROBERTS AVE APT 2D
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-5122
Mailing Address - Country:US
Mailing Address - Phone:347-654-3980
Mailing Address - Fax:
Practice Address - Street 1:3150 ROBERTS AVE APT 2D
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-5122
Practice Address - Country:US
Practice Address - Phone:347-654-3980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-11
Last Update Date:2015-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator