Individual
CHARAN SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, RADIOLOGY, FARMINGTON, CT 06030-2803
(860) 679-2784
(860) 679-4126
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
050031
CT
2085R0204X
Vascular & Interventional Radiology Physician
050031
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050031
CT STATE LICENSE
CT
05
—
1760620116
—
CT
Enumeration date
01/22/2009
Last updated
09/29/2022
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