Provider Demographics
NPI:1235183807
Name:SINGARAM, CHANDAR (MD)
Entity Type:Individual
Prefix:
First Name:CHANDAR
Middle Name:
Last Name:SINGARAM
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 1:1905 W 57TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2893
Mailing Address - Country:US
Mailing Address - Phone:605-310-2000
Mailing Address - Fax:605-274-1919
Practice Address - Street 1:1905 W 57TH ST STE 1
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2893
Practice Address - Country:US
Practice Address - Phone:605-310-2000
Practice Address - Fax:605-274-1919
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD4948207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDP00717485OtherRAILROAD MEDICARE
IA3985275Medicaid
MN749493900Medicaid
NE10025352300Medicaid
SD4994113OtherBCBS
SD6004273Medicaid
SDS100921Medicare PIN