Provider Demographics
NPI:1124190707
Name:SINGH, NIMI (MD)
Entity Type:Individual
Prefix:
First Name:NIMI
Middle Name:
Last Name:SINGH
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:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - Street 2:420 DELAWARE ST SE, MMC 260
Mailing Address - City:MINEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-626-4260
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address - Street 2:420 DELAWARE ST SE, MMC 260
Practice Address - City:MINEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-626-4260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN42362208000000X, 2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP29674OtherHEALTHPARTNERS
MT0055562Medicaid
WI32597100Medicaid
MN136416OtherUCARE
ND10387Medicaid
SD7777470Medicaid
MN881881OtherARAZ-PPO
MN1021658OtherPREFERRED ONE
MN56R26S1OtherBCBS
IA0521617Medicaid
MN12-00196OtherMEDICA CHOICE
MN12-09026OtherMEDICA PRIMARY
MN192322600Medicaid
MT0055562Medicaid