Healthcare Provider Details

I. General information

NPI: 1487608154
Provider Name (Legal Business Name): HARMOHAN SINGH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 01/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 W KINGS ST
KINGS MOUNTAIN NC
28086-2708
US

IV. Provider business mailing address

9020 HEYDON HALL CIR
CHARLOTTE NC
28210-6065
US

V. Phone/Fax

Practice location:
  • Phone: 704-739-3601
  • Fax: 704-739-0800
Mailing address:
  • Phone: 704-910-2893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number22392
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number22392
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number200201530
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: