=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053518696
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PRATAP SINGH MD PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/28/2007
-----------------------------------------------------
Last Update Date | 04/03/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2520 Q ST SUITE B
-----------------------------------------------------
City | BEDFORD
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47421-4928
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-278-8000
-----------------------------------------------------
Fax | 812-278-8100
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2520 Q ST SUITE B
-----------------------------------------------------
City | BEDFORD
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47421-4928
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-278-8000
-----------------------------------------------------
Fax | 812-278-8100
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. PRATAP SINGH
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 812-278-8000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 01055920A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------