Provider Demographics
NPI:1013187756
Name:SINGH, MANISH KUMAR (MD)
Entity Type:Individual
Prefix:MR
First Name:MANISH
Middle Name:KUMAR
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 952346
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31192
Mailing Address - Country:US
Mailing Address - Phone:504-454-0141
Mailing Address - Fax:504-885-2465
Practice Address - Street 1:3798 VETERANS MEMORIAL BLVD STE 200
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002
Practice Address - Country:US
Practice Address - Phone:504-454-0141
Practice Address - Fax:504-885-2465
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAGETP.TUL.NS207T00000X
CODR.0069490207T00000X
LAMD.206363207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA920425011/705964OtherUNITED HEALTHCARE