Provider Demographics
NPI:1114975349
Name:SINGH, ANIL K (MD)
Entity Type:Individual
Prefix:DR
First Name:ANIL
Middle Name:K
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 1:1330 BUDINGER AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-4123
Mailing Address - Country:US
Mailing Address - Phone:407-891-2970
Mailing Address - Fax:407-891-2971
Practice Address - Street 1:1330 BUDINGER AVE STE 206
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-4123
Practice Address - Country:US
Practice Address - Phone:407-891-2970
Practice Address - Fax:407-891-2971
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV20345207RG0100X
OH35.090758207RG0100X
FLME142408207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105351300Medicaid
OH2239643Medicaid
FLL3811OtherFL MEDICARE
WV1805859000Medicaid
WV100015110Medicare ID - Type UnspecifiedRAILROAD MEDICARE