Provider Demographics
NPI:1588078919
Name:JOHAL, HERMAN SINGH (MD MPH FRCSC)
Entity type:Individual
Prefix:MR
First Name:HERMAN
Middle Name:SINGH
Last Name:JOHAL
Suffix:
Gender:M
Credentials:MD MPH FRCSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:22 S. GREENE STREET, R ADAMS COWLEY SHOCK TRAUMA CENTER
Mailing Address - Street 2:DIVISION OF ORTHOPAEDIC TRAUMATOLOGY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201
Mailing Address - Country:US
Mailing Address - Phone:410-328-6280
Mailing Address - Fax:410-328-2893
Practice Address - Street 1:22 S. GREENE STREET, R ADAMS COWLEY SHOCK TRAUMA CENTER
Practice Address - Street 2:DIVISION OF ORTHOPAEDIC TRAUMATOLOGY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-328-6280
Practice Address - Fax:410-328-2893
Is Sole Proprietor?:No
Enumeration Date:2014-06-13
Last Update Date:2015-02-09
Deactivation Date:2015-01-15
Deactivation Code:
Reactivation Date:2015-02-06
Provider Licenses
StateLicense IDTaxonomies
ZZ111459207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma