=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598869950
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GURI SINGH MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/07/2006
-----------------------------------------------------
Last Update Date | 06/24/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8380 ZUNI STREET SUITE 305
-----------------------------------------------------
City | WESTMINSTER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80221
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-452-9577
-----------------------------------------------------
Fax | 303-452-9890
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8380 ZUNI ST SUITE 305
-----------------------------------------------------
City | WESTMINSTER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80221-4778
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-452-9577
-----------------------------------------------------
Fax | 303-452-9890
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 27672
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RA0401X
-----------------------------------------------------
Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
-----------------------------------------------------
License Number | 27672
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207RG0300X
-----------------------------------------------------
Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
-----------------------------------------------------
License Number | 27672
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------