Provider Demographics
NPI:1114969052
Name:SINGH, SATVIR (MD)
Entity Type:Individual
Prefix:
First Name:SATVIR
Middle Name:
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 1:631 PROFESSIONAL DRIVE
Mailing Address - Street 2:SUITE 450
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-7651
Mailing Address - Country:US
Mailing Address - Phone:770-963-8030
Mailing Address - Fax:770-339-9577
Practice Address - Street 1:631 PROFESSIONAL DRIVE
Practice Address - Street 2:SUITE 450
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-7651
Practice Address - Country:US
Practice Address - Phone:770-963-8030
Practice Address - Fax:770-339-9577
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057677207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1508926759OtherGROUP NPI NUMBER
GA737121898BMedicaid
GA1114969052OtherPROVIDER NPI NUMBER
GA737121898AMedicaid
CH5181OtherMEDICARE RAILROAD GROUP
GA4188940002Medicare NSC
GA83BBBXNMedicare ID - Type UnspecifiedPROVIDER ID
GA737121898AMedicaid
GA4188940003Medicare NSC
GA1114969052OtherPROVIDER NPI NUMBER