Provider Demographics
NPI:1043282163
Name:SINGHAL, SUNIT (MD)
Entity Type:Individual
Prefix:
First Name:SUNIT
Middle Name:
Last Name:SINGHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5075 PEACHTREE PKWY
Mailing Address - Street 2:SUITE 106
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-6508
Mailing Address - Country:US
Mailing Address - Phone:770-582-1300
Mailing Address - Fax:770-582-1317
Practice Address - Street 1:5075 PEACHTREE PKWY
Practice Address - Street 2:SUITE 106
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-6508
Practice Address - Country:US
Practice Address - Phone:770-582-1300
Practice Address - Fax:770-582-1317
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2008-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA035763207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202520OtherBLUE SHIELD
GAP00446648OtherRAIL ROAD MEDICARE
GA202520OtherBLUE SHIELD
GAP00446648OtherRAIL ROAD MEDICARE