Provider Demographics
NPI:1245271402
Name:SINGH, HARMEET (MD)
Entity type:Individual
Prefix:DR
First Name:HARMEET
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19455 DEERFIELD AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-8446
Mailing Address - Country:US
Mailing Address - Phone:703-858-3700
Mailing Address - Fax:703-858-0860
Practice Address - Street 1:19455 DEERFIELD AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-8446
Practice Address - Country:US
Practice Address - Phone:703-858-3700
Practice Address - Fax:703-858-0860
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101222566174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007104537Medicaid
VA130000762Medicare ID - Type Unspecified
VA007104537Medicaid