Provider Demographics
NPI:1275930042
Name:SINGH, MANPREET (MD)
Entity Type:Individual
Prefix:
First Name:MANPREET
Middle Name:
Last Name:SINGH
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 1:7830 S. MADISON AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-5710
Mailing Address - Country:US
Mailing Address - Phone:317-888-1100
Mailing Address - Fax:317-888-1118
Practice Address - Street 1:7830 MADISON AVE STE B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-5710
Practice Address - Country:US
Practice Address - Phone:317-888-1100
Practice Address - Fax:317-888-1118
Is Sole Proprietor?:No
Enumeration Date:2014-11-22
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01077830A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine