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1467439729

NPI Code Detail

MEDICARE: KANWARDEEP SINGH MD

MEDICARE: KANWARDEEP SINGH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	45774	WI
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	45774	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	05459789	OTHER		ECFMG
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467439729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KANWARDEEP SINGH MD

Provider Business Mailing Address
First Line	:	PO BOX 735044
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-5044
Country	:	US
Telephone Number	:	800-326-2250
Fax Number	:

Provider Business Practice Location Address
First Line	:	1155 N HONEY CREEK PKWY
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53213-3189
Country	:	US
Telephone Number	:	414-615-5900
Fax Number	:	414-615-5927

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	12/15/2023

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Directions to “ KANWARDEEP SINGH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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