Provider Demographics
NPI:1417117581
Name:SINGH, INDER M (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:INDER
Middle Name:M
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD, MS
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 208313
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-8313
Mailing Address - Country:US
Mailing Address - Phone:520-777-5030
Mailing Address - Fax:520-509-4496
Practice Address - Street 1:2145 W 28TH ST STE B
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-1219
Practice Address - Country:US
Practice Address - Phone:928-328-8338
Practice Address - Fax:928-328-8339
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV21710207RC0000X, 207RI0011X
CAA112871207RC0000X, 207RI0011X
IN11013117A207RC0000X
AZ65604207RI0011X, 207RC0000X
CODR.0069095207RI0011X
MN104497207RC0000X
TXT3882207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ125332Medicaid
MNENROLLEDMedicaid