Provider Demographics
NPI:1154447175
Name:SINGH, ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
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 1:649 N LEWIS RD
Mailing Address - Street 2:STE 230-B
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1234
Mailing Address - Country:US
Mailing Address - Phone:610-495-6800
Mailing Address - Fax:
Practice Address - Street 1:1900 MARKET ST
Practice Address - Street 2:SUITE 115
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-3527
Practice Address - Country:US
Practice Address - Phone:215-988-0440
Practice Address - Fax:215-988-0461
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4176802086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101095280000Medicaid
PA194873Medicare PIN
PAI10977Medicare UPIN
PA081105ZAAQMedicare PIN
PAP00899964Medicare UPIN
PA081105K7QMedicare ID - Type Unspecified
PADO6431Medicare PIN
PAP00899964Medicare PIN
PA081105YCYYMedicare PIN