Provider Demographics
NPI:1235627027
Name:SINGH, REEMA SHAMSHER (MBBS)
Entity Type:Individual
Prefix:DR
First Name:REEMA
Middle Name:SHAMSHER
Last Name:SINGH
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:DR
Other - First Name:REEMA
Other - Middle Name:
Other - Last Name:RAVISH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MBBS
Mailing Address - Street 1:4561 E WIND RIVER DR
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83401-5725
Mailing Address - Country:US
Mailing Address - Phone:562-396-7771
Mailing Address - Fax:
Practice Address - Street 1:3100 CHANNING WAY
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404-7533
Practice Address - Country:US
Practice Address - Phone:208-227-2850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM-15608208M00000X
UTM-15608207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist