Provider Demographics
NPI:1457376394
Name:HARPAL SINGH MD PC
Entity Type:Organization
Organization Name:HARPAL SINGH MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARPAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-799-9250
Mailing Address - Street 1:4449 FASHION SQUARE BLVD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-5217
Mailing Address - Country:US
Mailing Address - Phone:989-790-0007
Mailing Address - Fax:989-790-7441
Practice Address - Street 1:5580 STATE ST
Practice Address - Street 2:SUITE 7
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-3485
Practice Address - Country:US
Practice Address - Phone:989-799-9250
Practice Address - Fax:989-799-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301038881207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1588567Medicaid
MI0N88480Medicare ID - Type Unspecified
MIE21687Medicare UPIN