Provider Demographics
NPI:1104029172
Name:SINGAL, MANISHA (MD)
Entity Type:Individual
Prefix:MS
First Name:MANISHA
Middle Name:
Last Name:SINGAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 15TH STREET SOUTH
Mailing Address - Street 2:APT 354
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202
Mailing Address - Country:US
Mailing Address - Phone:703-919-5811
Mailing Address - Fax:202-675-0411
Practice Address - Street 1:700 CONSTITUTION AVENUE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002
Practice Address - Country:US
Practice Address - Phone:202-543-4800
Practice Address - Fax:202-675-0411
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD30743207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC491139Medicare ID - Type Unspecified
H02349Medicare UPIN