Provider Demographics
NPI:1801888433
Name:SINGH, HARSH W (MD)
Entity type:Individual
Prefix:
First Name:HARSH
Middle Name:W
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 742616
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-2616
Mailing Address - Country:US
Mailing Address - Phone:770-219-8420
Mailing Address - Fax:
Practice Address - Street 1:6567 E CARONDELET DR STE 305
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-6160
Practice Address - Country:US
Practice Address - Phone:520-881-8400
Practice Address - Fax:520-829-7521
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ582232084N0400X
FL976592084N0400X
WI1009442084N0400X
GA578442084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA462024747GMedicaid
GA462024747HMedicaid
FL009660300Medicaid
FLPB735OtherFL HF MA
FLHN686ZMedicare PIN