Healthcare Provider Details

I. General information

NPI: 1326001819
Provider Name (Legal Business Name): CENTER FOR DIGESTIVE DISEASES AND CARY ENDOSCOPY CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 08/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 SE CARY PKWY SUITE 204
CARY NC
27518
US

IV. Provider business mailing address

1120 SE CARY PKWY SUITE 204
CARY NC
27518-7410
US

V. Phone/Fax

Practice location:
  • Phone: 919-854-0041
  • Fax: 919-854-0049
Mailing address:
  • Phone: 919-854-0041
  • Fax: 919-854-0049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number83737/131392
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberAS0072
License Number StateNC

VIII. Authorized Official

Name: DR. HARMINDER PAUL SINGH
Title or Position: PRESIDENT
Credential: M.D.
Phone: 919-854-0041