Provider Demographics
NPI:1972659928
Name:PB SINGH MD INC
Entity Type:Organization
Organization Name:PB SINGH MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PARMINDER
Authorized Official - Middle Name:BOBBY
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-382-9293
Mailing Address - Street 1:1199 DELAWARE AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-7462
Mailing Address - Country:US
Mailing Address - Phone:740-382-9293
Mailing Address - Fax:740-383-6091
Practice Address - Street 1:1199 DELAWARE AVE STE 102
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-7462
Practice Address - Country:US
Practice Address - Phone:740-382-9293
Practice Address - Fax:740-383-6091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35079830207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1962448688OtherMUHAMMAD IA KHAN NPI #
OH2499130Medicaid
OH1598756546OtherPARMINDER B. SINGH NPI #
OH2257383Medicaid
OHH83885Medicare UPIN
OH9337261Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
OH2257383Medicaid
OHH46295Medicare UPIN
OH4058462Medicare ID - Type UnspecifiedDR. SINGH MEDICARE IND #