Provider Demographics
NPI:1003879230
Name:SINGH, RANJIT R (MD)
Entity Type:Individual
Prefix:DR
First Name:RANJIT
Middle Name:R
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 1:3030 NORTH ST
Mailing Address - Street 2:STE 500
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1424
Mailing Address - Country:US
Mailing Address - Phone:409-833-5262
Mailing Address - Fax:
Practice Address - Street 1:3030 NORTH ST
Practice Address - Street 2:STE 500
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1424
Practice Address - Country:US
Practice Address - Phone:409-833-5262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7920207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115914702Medicaid
TX115914702Medicaid
TXC21858Medicare UPIN