Provider Demographics
NPI:1366688723
Name:SINGH, SEETA KISSOON (ABO)
Entity Type:Individual
Prefix:MS
First Name:SEETA
Middle Name:KISSOON
Last Name:SINGH
Suffix:
Gender:F
Credentials:ABO
Other - Prefix:
Other - First Name:SEETA
Other - Middle Name:SINGH
Other - Last Name:DRESNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8208 BRINK RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20882-4858
Mailing Address - Country:US
Mailing Address - Phone:301-963-3658
Mailing Address - Fax:301-963-3658
Practice Address - Street 1:8208 BRINK RD
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20882
Practice Address - Country:US
Practice Address - Phone:301-963-3658
Practice Address - Fax:301-963-3658
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician