Provider Demographics
NPI:1235162769
Name:SIGH, ROBERT V (MD,MPH)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:V
Last Name:SIGH
Suffix:
Gender:M
Credentials:MD,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2066 CANADA FALLS CT
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-5086
Mailing Address - Country:US
Mailing Address - Phone:678-526-9099
Mailing Address - Fax:
Practice Address - Street 1:770 VILLAGE SQUARE DR
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-3380
Practice Address - Country:US
Practice Address - Phone:404-298-8998
Practice Address - Fax:404-298-7658
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC26108171000000X, 2083P0901X, 207Q00000X
GA0589282083P0901X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171000000XOther Service ProvidersMilitary Health Care Provider
Not Answered2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G72245Medicare UPIN
SC421821Medicare ID - Type Unspecified