Provider Demographics
NPI:1427000116
Name:SINGH, SUNEET KUMAR (MD)
Entity Type:Individual
Prefix:
First Name:SUNEET
Middle Name:KUMAR
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 LOVEGRASS LN
Mailing Address - Street 2:
Mailing Address - City:SUNSET VALLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78745-2559
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1201 W 38TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1006
Practice Address - Country:US
Practice Address - Phone:512-324-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0925207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173526801Medicaid
TX173526803Medicaid
TX173526809Medicaid
TX173526813Medicaid
TX173526807Medicaid
TX173526804Medicaid
TX173526811Medicaid
TX173526807Medicaid
TX8J5888Medicare PIN
TX8G1677Medicare PIN
TX8G0273Medicare PIN
TX173526801Medicaid
TX173526813Medicaid
TX173526811Medicaid
TX173526804Medicaid
TX8G0502Medicare PIN
TXP00274980Medicare PIN
TXI31356Medicare UPIN