Provider Demographics
NPI:1982837613
Name:SINGH, GURDEEP (MD)
Entity Type:Individual
Prefix:
First Name:GURDEEP
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 1:3636,16TH ST NW
Mailing Address - Street 2:WOODNER APARTMENT APT NO B1208
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-1146
Mailing Address - Country:US
Mailing Address - Phone:202-469-2067
Mailing Address - Fax:
Practice Address - Street 1:3636 16TH ST NW
Practice Address - Street 2:WOODNER APARTMENT ,APT NO B 1208
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-1146
Practice Address - Country:US
Practice Address - Phone:202-469-2067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-28
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCBM5869663-12140207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine