Provider Demographics
NPI:1780972133
Name:SINGH, PRABHAT (MD)
Entity type:Individual
Prefix:
First Name:PRABHAT
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4750 CENTRE AVE
Mailing Address - Street 2:APT#26
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1757
Mailing Address - Country:US
Mailing Address - Phone:718-785-6668
Mailing Address - Fax:
Practice Address - Street 1:1521 S STAPLES ST STE 601
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-3154
Practice Address - Country:US
Practice Address - Phone:361-887-8451
Practice Address - Fax:361-887-6126
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ8641207RN0300X
PAMT199011207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty