Provider Demographics
NPI:1245228998
Name:SINGH, SHALU (MD)
Entity Type:Individual
Prefix:
First Name:SHALU
Middle Name:
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 1:1524 SUNSET BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1380
Mailing Address - Country:US
Mailing Address - Phone:740-283-1100
Mailing Address - Fax:740-314-8614
Practice Address - Street 1:1524 SUNSET BLVD STE C
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1380
Practice Address - Country:US
Practice Address - Phone:740-283-1100
Practice Address - Fax:740-314-8614
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV212712084N0400X
OH35.0829962084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2440077Medicaid
WV300475500Medicaid
WVH96693Medicare UPIN
OHH425670Medicare PIN
WV4119712Medicare PIN
WV300475500Medicaid
OH4119721Medicare PIN
P00180306Medicare PIN
OH4119723Medicare PIN