Provider Demographics
NPI:1073691143
Name:AMITA BISHNOI-SINGH, MD PLC
Entity Type:Organization
Organization Name:AMITA BISHNOI-SINGH, MD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMITA
Authorized Official - Middle Name:DEVI
Authorized Official - Last Name:BISHNOI-SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-852-2277
Mailing Address - Street 1:135 BARCLAY CIR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4599
Mailing Address - Country:US
Mailing Address - Phone:248-852-2277
Mailing Address - Fax:248-852-2552
Practice Address - Street 1:135 BARCLAY CIR
Practice Address - Street 2:SUITE 100
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4599
Practice Address - Country:US
Practice Address - Phone:248-852-2277
Practice Address - Fax:248-852-2552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAB072723174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MII37527Medicare UPIN
MIN98570002Medicare ID - Type Unspecified