Provider Demographics
NPI:1164886685
Name:SINGH, JANE ANJUL (MD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:ANJUL
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 1:180 NINTH ST STE E
Mailing Address - Street 2:
Mailing Address - City:JENA
Mailing Address - State:LA
Mailing Address - Zip Code:71342-3900
Mailing Address - Country:US
Mailing Address - Phone:318-992-6264
Mailing Address - Fax:318-992-6269
Practice Address - Street 1:80 VERSAILLES BLVD STE D
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3978
Practice Address - Country:US
Practice Address - Phone:318-528-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA320945207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine