Individual
POONAM SINGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1402 N HIGH ST, HILLSBORO, OH 45133-8514
(937) 393-4899
Mailing address
215 E MAIN ST, PROVIDENCE, KY 42450-1261
(270) 667-7017
(270) 667-9065
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41726
KY
208000000X
Pediatrics Physician
BP20027448
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100040140
—
KY
Enumeration date
09/18/2007
Last updated
10/31/2018
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