Provider Demographics
NPI:1982899258
Name:SINGH, PARMINDERPAL (MD)
Entity Type:Individual
Prefix:DR
First Name:PARMINDERPAL
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 1:9151 W THUNDERBIRD RD STE G101
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4906
Mailing Address - Country:US
Mailing Address - Phone:623-974-4789
Mailing Address - Fax:623-974-4798
Practice Address - Street 1:9151 W THUNDERBIRD RD STE G101
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4906
Practice Address - Country:US
Practice Address - Phone:623-974-4789
Practice Address - Fax:623-974-4798
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28973207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ560814Medicaid
AZG66623Medicare UPIN
AZ560814Medicaid