Provider Demographics
NPI:1265518583
Name:SINGH, HARJIT (MD)
Entity type:Individual
Prefix:DR
First Name:HARJIT
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 1:5410 RITCHIE HWY STE A
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21225-3069
Mailing Address - Country:US
Mailing Address - Phone:410-636-1470
Mailing Address - Fax:410-636-1471
Practice Address - Street 1:5410 RITCHIE HWY STE A
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-3069
Practice Address - Country:US
Practice Address - Phone:410-636-1470
Practice Address - Fax:410-636-1471
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-29
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0014160207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7881HOtherBLUE CROSS BLUE SHIELD
MD28276-1100Medicaid
MD7881HOtherBLUE CROSS BLUE SHIELD