Provider Demographics
NPI:1285487496
Name:SINGH, MANVEER (MBBCH)
Entity type:Individual
Prefix:MR
First Name:MANVEER
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MBBCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 GENTLE FOX DRIVE
Mailing Address - Street 2:
Mailing Address - City:CALEDON
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L7C 3S6
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:825 FAIRFAX AVENUE
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE, HOFFHEIMER HALL, EASTE
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507
Practice Address - Country:US
Practice Address - Phone:757-446-8920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program