Individual
GURCHARAN SINGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12255 DE PAUL DR STE 600, BRIDGETON, MO 63044-2515
(314) 209-5100
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36108
MO
207RC0000X
Cardiovascular Disease Physician
36108
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201120730
—
MO
Enumeration date
08/30/2006
Last updated
12/09/2024
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