Provider Demographics
NPI:1114164571
Name:SINGHAL, ACHALA MITHAL (MD)
Entity Type:Individual
Prefix:DR
First Name:ACHALA
Middle Name:MITHAL
Last Name:SINGHAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ACHALA
Other - Middle Name:
Other - Last Name:MITHAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2747 WENDY DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-5318
Mailing Address - Country:US
Mailing Address - Phone:315-753-0111
Mailing Address - Fax:
Practice Address - Street 1:1011 HONOR HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-1318
Practice Address - Country:US
Practice Address - Phone:918-577-3783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY139144-1207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease