Provider Demographics
NPI:1588919518
Name:HARRICHARAN SINGH, KABIR DAVID (MD)
Entity type:Individual
Prefix:
First Name:KABIR
Middle Name:DAVID
Last Name:HARRICHARAN 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 1:994 W HIGHWAY 25 70 STE 4
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37821-9006
Mailing Address - Country:US
Mailing Address - Phone:423-237-6964
Mailing Address - Fax:423-237-6965
Practice Address - Street 1:994 W HIGHWAY 25 70 STE 4
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-9006
Practice Address - Country:US
Practice Address - Phone:423-237-6964
Practice Address - Fax:423-237-6965
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2023-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TNMD51835207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ014370Medicaid
TN103I084896Medicare PIN