Provider Demographics
NPI:1215945258
Name:SINGH, MOHINDER PAL (MD)
Entity type:Individual
Prefix:DR
First Name:MOHINDER
Middle Name:PAL
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 1:112 FOX PATH
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-9778
Mailing Address - Country:US
Mailing Address - Phone:330-385-7394
Mailing Address - Fax:330-385-3386
Practice Address - Street 1:1100 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-3539
Practice Address - Country:US
Practice Address - Phone:330-385-7394
Practice Address - Fax:330-385-3386
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-08-1432-S207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2333451Medicaid
OH4089292Medicare PIN
OHH67653Medicare UPIN
OH2333451Medicaid