Provider Demographics
NPI:1003880527
Name:SINGH, GITA S (MD)
Entity Type:Individual
Prefix:
First Name:GITA
Middle Name:S
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11109 PARKVIEW PLAZA DR # 117
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-1701
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2512 E DUPONT RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-1675
Practice Address - Country:US
Practice Address - Phone:260-436-6667
Practice Address - Fax:260-469-7437
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01052055A207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000174445OtherANTHEM BC/BS
OH0748972Medicaid
IN100081380Medicaid
OH2567771Medicaid
IN200248870Medicaid
ING24325Medicare UPIN
IN0335410013Medicare NSC
IN136140Medicare PIN
OH0748972Medicaid
INCB9217Medicare PIN
IN100081380Medicaid
OHDG2339Medicare PIN
IN1361140PMedicare PIN