Provider Demographics
NPI:1306803390
Name:SINGH, DALBIR (PA-C)
Entity type:Individual
Prefix:
First Name:DALBIR
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4180 WARRENSVILLE CENTER RD.
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WARRENSVILLE HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7024
Mailing Address - Country:US
Mailing Address - Phone:216-491-7660
Mailing Address - Fax:216-491-7662
Practice Address - Street 1:4180 WARRENSVILLE CENTER RD.
Practice Address - Street 2:SUITE 120
Practice Address - City:WARRENSVILLE HTS
Practice Address - State:OH
Practice Address - Zip Code:44122-7024
Practice Address - Country:US
Practice Address - Phone:216-491-7660
Practice Address - Fax:216-491-7662
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50-001880363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant