Provider Demographics
NPI:1205944071
Name:SINGH, HARPREET (MD)
Entity type:Individual
Prefix:DR
First Name:HARPREET
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:PO BOX 48206
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32247-8206
Mailing Address - Country:US
Mailing Address - Phone:904-323-3141
Mailing Address - Fax:888-374-8792
Practice Address - Street 1:800 PRUDENTIAL DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8202
Practice Address - Country:US
Practice Address - Phone:904-323-3141
Practice Address - Fax:888-374-8792
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240703174400000X, 207Q00000X
FLME109563207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME109563OtherMEDICAL LICENSE
NY240703OtherMEDICAL LICENSE
NY240703OtherMEDICAL LICENSE
NY5868D1Medicare PIN
NYI70077Medicare UPIN