Provider Demographics
NPI:1093704900
Name:SINGH, SAUL S (DO)
Entity Type:Individual
Prefix:
First Name:SAUL
Middle Name:S
Last Name:SINGH
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:550 OSBORNE RD NE
Mailing Address - Street 2:UNIT 307
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-2718
Mailing Address - Country:US
Mailing Address - Phone:763-236-9428
Mailing Address - Fax:763-263-9428
Practice Address - Street 1:3960 COON RAPIDS BLVD NW
Practice Address - Street 2:SUITE 100
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-2569
Practice Address - Country:US
Practice Address - Phone:763-236-9428
Practice Address - Fax:763-236-9425
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2016-08-04
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Provider Licenses
StateLicense IDTaxonomies
MN44831207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0406511OtherMEDICA HEALTH PLANS
MN062580900Medicaid
769S4SZOtherBLUE CROSS BLUE SHIELD
169633OtherU-CARE
2159898OtherARAZ GROUP/AMERICA'S PPO
062580900OtherMEDICAL ASSISTANCE
1033910OtherPREFERRED ONE
HP40411OtherHEALTH PARTNERS
110009465Medicare ID - Type Unspecified
H58913Medicare UPIN