Provider Demographics
NPI:1376567594
Name:SINGH, CHANDRA B (MD)
Entity Type:Individual
Prefix:DR
First Name:CHANDRA
Middle Name:B
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19901 EPSOM CRSE
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1303
Mailing Address - Country:US
Mailing Address - Phone:718-217-2628
Mailing Address - Fax:718-245-2918
Practice Address - Street 1:451 CLARKSON AVE
Practice Address - Street 2:KINGS COUNTY HOSPITAL BLDG. R 2 EAST
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2054
Practice Address - Country:US
Practice Address - Phone:718-245-2656
Practice Address - Fax:718-245-2918
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159232207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine