Individual
DR. JASVINDER PAL SINGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1507 N ROAD ST, SUITE 1, ELIZABETH CITY, NC 27909-3243
(252) 338-6167
(252) 334-1755
Mailing address
1507 N ROAD ST, SUITE 1, ELIZABETH CITY, NC 27909-3243
(252) 338-6167
(252) 334-1755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33893
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
33893
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
33893
NC
207RP1001X
Pulmonary Disease Physician
Primary
33893
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
33893
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0173X
BCBS OF NC GROUP #
NC
01
—
1038T
BCBS OF NC PROVIDER #
NC
01
—
2164379B
MEDICARE
—
01
—
2327994
PTAN-MEDICARE
—
01
—
437123
ALLIANCE PPO
NC
01
—
4854877
UNITED HEALTH CARE
NC
05
—
690280Q
—
NC
05
—
890173X
—
NC
05
—
891038T
—
NC
Enumeration date
05/03/2006
Last updated
06/04/2015
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