Provider Demographics
NPI:1487608154
Name:SINGH, HARMOHAN (MD)
Entity type:Individual
Prefix:DR
First Name:HARMOHAN
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9020 HEYDON HALL CIR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-6065
Mailing Address - Country:US
Mailing Address - Phone:704-910-2893
Mailing Address - Fax:
Practice Address - Street 1:706 W KINGS ST
Practice Address - Street 2:
Practice Address - City:KINGS MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28086-2708
Practice Address - Country:US
Practice Address - Phone:704-739-3601
Practice Address - Fax:704-739-0800
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22392207P00000X, 207R00000X
NC200201530207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC223920Medicaid
NC5905511Medicaid
SCN01432Medicaid
NC2059549BMedicare PIN
NC2059549EMedicare PIN
SCN01432Medicaid
SCH409338586Medicare PIN