Healthcare Provider Details

I. General information

NPI: 1861076036
Provider Name (Legal Business Name): GAGAN PAUL SINGH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 09/11/2024
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE NW, HOWARD UNIVERSITY HOSPITAL
WASHINGTON DC
20060
US

IV. Provider business mailing address

2041 GEORGIA AVE NW, HOWARD UNIVERSITY HOSPITAL
WASHINGTON DC
20060
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-6100
  • Fax:
Mailing address:
  • Phone: 202-865-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0100564
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: