Individual
SURJIT SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 8TH AVE, TERRE HAUTE, IN 47804-2771
(812) 231-8323
(812) 231-8400
Mailing address
3642 S 4TH ST, TERRE HAUTE, IN 47802-5543
(812) 234-7945
(812) 234-6059
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01035135A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090264
BLUECROSS BLUESHIELD PIN
IN
01
—
079099000
MAGELLAN PROVIDER #
IN
05
—
200093240A
—
IN
01
—
260035446
RAILROAD MEDICARE #
IN
01
—
351922803
ETIN
IN
Enumeration date
08/03/2006
Last updated
09/08/2020
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