Healthcare Provider Details

I. General information

NPI: 1205572294
Provider Name (Legal Business Name): HARJINDERPAL SINGH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2022
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 KING ST W
KITCHENER ONTARIO
N2G 1G3
CA

IV. Provider business mailing address

11 EMPEROR DRIVE
BRAMPTON ONTARIO
L6P1X2
CA

V. Phone/Fax

Practice location:
  • Phone: 314-899-7561
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4351049661
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: