Provider Demographics
NPI:1770375107
Name:SINGH, SOURABH (MD)
Entity type:Individual
Prefix:MR
First Name:SOURABH
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:H NO-23, SATI COLONY
Mailing Address - Street 2:PAI ROAD, PUNDRI
Mailing Address - City:KAITHAL
Mailing Address - State:HARYANA
Mailing Address - Zip Code:136026
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:VERDE VALLEY MEDICAL CENTER, RESIDENCY PROGRAM
Practice Address - Street 2:269 S CANDY LANE
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326
Practice Address - Country:US
Practice Address - Phone:928-639-6054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program