Provider Demographics
NPI:1285825653
Name:ANOOP K SINGH MD LLC
Entity Type:Organization
Organization Name:ANOOP K SINGH MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANOOP
Authorized Official - Middle Name:K
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-735-6055
Mailing Address - Street 1:320 APPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5072
Mailing Address - Country:US
Mailing Address - Phone:985-781-7903
Mailing Address - Fax:985-781-7904
Practice Address - Street 1:1616 S COLUMBIA ST
Practice Address - Street 2:SUITE B
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-5880
Practice Address - Country:US
Practice Address - Phone:985-735-6005
Practice Address - Fax:985-735-6009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11829R207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LADE6308OtherMEDICARE RAILROAD
LA1684791Medicaid
LA1684791Medicaid
LADE6308OtherMEDICARE RAILROAD