NPI Code Detail JSON Logo

1396752986 NPI number — ROSHAN LALTA HIRA SINGH MD

NPI Number: 1396752986
Health Care Provider/Practitioner: ROSHAN LALTA HIRA SINGH MD

Information about “1396752986” NPI (ROSHAN LALTA HIRA SINGH MD) exists in 1396752986 in HTML format HTML  |  1396752986 in plain Text format TXT  |  1396752986 in PDF (Portable Document Format) PDF  |  1396752986 in an XML format XML  formats.

NPI Number : 1396752986 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396752986",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SINGH",
    "FirstName": "ROSHAN",
    "MiddleName": "LALTA HIRA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SINGH",
    "OtherFirstName": "ROSHAN",
    "OtherMiddleName": "L",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2215 NEBRASKA AVE",
    "SecondLineMailingAddress": "SUITE 1-A",
    "MailingAddressCityName": "FORT PIERCE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34950-4864",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "772-464-8722",
    "MailingAddressFaxNumber": "772-464-9978",
    "FirstLinePracticeLocationAddress": "2215 NEBRASKA AVE",
    "SecondLinePracticeLocationAddress": "SUITE 1-A",
    "PracticeLocationAddressCityName": "FORT PIERCE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34950-4864",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "772-464-8722",
    "PracticeLocationAddressFaxNumber": "772-464-9978",
    "EnumerationDate": "08/03/2006",
    "LastUpdateDate": "06/02/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208600000X",
        "TaxonomyName": "Surgery Physician",
        "LicenseNumber": "ME35626",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.