MEDICARE: DR. HARVINDER PAUL 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	207RI0011X	Interventional Cardiology Physician	4301062163	MI
2	207RC0000X	Cardiovascular Disease Physician	5315004659	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861495558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARVINDER PAUL SINGH M.D.

Provider Business Mailing Address
First Line	:	PO BOX 150036
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49515-0036
Country	:	US
Telephone Number	:	616-456-9553
Fax Number	:	616-454-5371

Provider Business Practice Location Address
First Line	:	3210 EAGLE RUN DR NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-7051
Country	:	US
Telephone Number	:	616-456-9553
Fax Number	:	616-454-5371

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	05/24/2024

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Directions to “ DR. HARVINDER PAUL SINGH M.D.” Practice Location

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