Provider Demographics
NPI:1407873409
Name:SATISH C SINGLA MD. PC
Entity Type:Organization
Organization Name:SATISH C SINGLA MD. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SATISH
Authorized Official - Middle Name:CHANDLER
Authorized Official - Last Name:SINGLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-622-4113
Mailing Address - Street 1:700 SCHUYLKILL MANOR RD
Mailing Address - Street 2:STE 7
Mailing Address - City:POTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17901
Mailing Address - Country:US
Mailing Address - Phone:570-622-4113
Mailing Address - Fax:
Practice Address - Street 1:700 SCHUYLKILL MANOR RD
Practice Address - Street 2:STE 7
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901
Practice Address - Country:US
Practice Address - Phone:570-622-4113
Practice Address - Fax:570-621-4210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039272L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015466650001Medicaid
1617750OtherHIGHMARK BLUE SHIELD
PA0015466650001Medicaid