Provider Demographics
NPI:1831113307
Name:JUDGE, GURDEV SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:GURDEV
Middle Name:SINGH
Last Name:JUDGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:401 KEISLER DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7084
Mailing Address - Country:US
Mailing Address - Phone:919-859-5966
Mailing Address - Fax:919-859-4993
Practice Address - Street 1:401 KEISLER DR
Practice Address - Street 2:SUITE 201
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-7084
Practice Address - Country:US
Practice Address - Phone:919-859-5966
Practice Address - Fax:919-859-4993
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC35935207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8947638Medicaid
NCP00112304OtherRAIL ROAD MEDICARE
NCP00112304OtherRAIL ROAD MEDICARE
NC8947638Medicaid