MEDICARE: DR. CHARANPAL SINGH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	A111380	CA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	15465	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	15465	OTHER	NV	NEVADA LICENSE
2	A111380	OTHER	CA	STATE LICENSE

General Provider Information

NPI Number	:	1336389022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARANPAL SINGH M.D.

Provider Business Mailing Address
First Line	:	9333 W SUNSET RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4845
Country	:	US
Telephone Number	:	725-745-5864
Fax Number	:	725-745-2014

Provider Business Practice Location Address
First Line	:	9333 W SUNSET RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4845
Country	:	US
Telephone Number	:	725-745-5864
Fax Number	:	725-745-2014

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2009
Last Update Date	:	11/15/2022

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