Provider Demographics
NPI:1417222548
Name:SINGAVI, ARUN KUSHALRAJ (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:KUSHALRAJ
Last Name:SINGAVI
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 S DOBSON RD STE 1
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-6164
Mailing Address - Country:US
Mailing Address - Phone:855-485-4673
Mailing Address - Fax:602-938-4401
Practice Address - Street 1:1110 S DOBSON RD STE 1
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-6164
Practice Address - Country:US
Practice Address - Phone:855-485-4673
Practice Address - Fax:602-938-4401
Is Sole Proprietor?:No
Enumeration Date:2012-03-22
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI62059207R00000X, 207RH0003X
AZ58536207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ233250OtherMEDICARE PIN