MEDICARE: SUPRIT SINGH DO

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	207R00000X	Internal Medicine Physician	0102208605	VA

General Provider Information

NPI Number	:	1457932246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUPRIT SINGH DO

Provider Business Mailing Address
First Line	:	1060 FIRST COLONIAL RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3002
Country	:	US
Telephone Number	:	757-967-8622
Fax Number	:

Provider Business Practice Location Address
First Line	:	1060 FIRST COLONIAL RD
Second Line	:
City	:	VIRGINIA BCH
State	:	VA
Zip	:	23454-3002
Country	:	US
Telephone Number	:	757-967-8622
Fax Number	:

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

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	07/29/2024

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Directions to “ SUPRIT SINGH DO” Practice Location

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