Provider Demographics
NPI:1366427528
Name:SINGH, HARRYPERSAD (MD)
Entity type:Individual
Prefix:DR
First Name:HARRYPERSAD
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 1:1255 HIGHWAY 327 E
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-6007
Mailing Address - Country:US
Mailing Address - Phone:409-813-1677
Mailing Address - Fax:409-813-1699
Practice Address - Street 1:1255 HIGHWAY 327 E
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-6007
Practice Address - Country:US
Practice Address - Phone:409-813-1677
Practice Address - Fax:409-813-1699
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1310207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D0484067OtherCLIA
TX121522001Medicaid
TX121522005Medicaid
TX8F24121OtherMEDICARE PTAN
TX121522003Medicaid
TXC21859Medicare UPIN