Provider Demographics
NPI:1043681232
Name:SINGH, ULKA UDAY
Entity Type:Individual
Prefix:
First Name:ULKA UDAY
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 WESTOVER HILLS BLVD
Mailing Address - Street 2:APT A
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4566
Mailing Address - Country:US
Mailing Address - Phone:781-606-4692
Mailing Address - Fax:
Practice Address - Street 1:621 WESTOVER HILLS BLVD
Practice Address - Street 2:APT A
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4566
Practice Address - Country:US
Practice Address - Phone:781-606-4692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-13
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005874225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist