Healthcare Provider Details

I. General information

NPI: 1902066848
Provider Name (Legal Business Name): MANPREET SINGH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2008
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 MAIN ST STE 1000
ZACHARY LA
70791-4092
US

IV. Provider business mailing address

6550 MAIN ST STE 1000
ZACHARY LA
70791-4092
US

V. Phone/Fax

Practice location:
  • Phone: 225-654-1559
  • Fax: 225-654-6212
Mailing address:
  • Phone: 225-654-1559
  • Fax: 225-654-6212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number204779
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number204779
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: