Individual
PRAVEEN SINGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 10TH AVE STE 400, COLUMBUS, GA 31901-3713
(706) 660-2932
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-4004
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01075278A
IN
208000000X
Pediatrics Physician
Primary
94186
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201293770
—
IN
01
—
IN2920002
MEDICARE PTAN
IN
Enumeration date
06/27/2012
Last updated
02/15/2023
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