Provider Demographics
NPI:1346284437
Name:SINGH, PRADEEP (MD)
Entity Type:Individual
Prefix:
First Name:PRADEEP
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:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-585-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:3 AUDUBON PLAZA DRIVE
Practice Address - Street 2:SUITE 550
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1376
Practice Address - Country:US
Practice Address - Phone:502-634-3808
Practice Address - Fax:502-634-9336
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY30021207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000057119SOtherHUMANA-NBHS
IN200208040Medicaid
KY4572214OtherCIGNA-NBHS
KY125213OtherSIHO-NBHS
KY50032636OtherPASSPORT-NBHS
KYP0093316OtherMEDICARE RAILROAD KY - NBHS
KY000000709341OtherANTHEM-NBHS
KY64300213Medicaid
KY50032636OtherPASSPORT-NBHS
KYF64811Medicare UPIN
KY4572214OtherCIGNA-NBHS