Provider Demographics
NPI:1093700874
Name:SINGH, MANORANJAN P (MD)
Entity Type:Individual
Prefix:
First Name:MANORANJAN
Middle Name:P
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 SE LAKE WEIR AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5426
Mailing Address - Country:US
Mailing Address - Phone:352-867-9600
Mailing Address - Fax:352-867-9603
Practice Address - Street 1:1805 SE LAKE WEIR AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5426
Practice Address - Country:US
Practice Address - Phone:352-867-9600
Practice Address - Fax:352-867-9603
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-16
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0049864207RC0000X
FL49864207UN0901X, 207QA0505X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL047834200Medicaid
FL04981ZMedicare PIN
FL047834200Medicaid