Provider Demographics
NPI:1467462424
Name:SINGLA, VED P (MD)
Entity Type:Individual
Prefix:DR
First Name:VED
Middle Name:P
Last Name:SINGLA
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 1:11900 TWELVE MILE ROAD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093
Mailing Address - Country:US
Mailing Address - Phone:586-751-0280
Mailing Address - Fax:586-751-4762
Practice Address - Street 1:11900 TWELVE MILE ROAD
Practice Address - Street 2:SUITE 204
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093
Practice Address - Country:US
Practice Address - Phone:586-751-0280
Practice Address - Fax:586-751-4762
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIVS035744207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1896930Medicaid
1105044691OtherBCBS
OP30820Medicare ID - Type Unspecified