Provider Demographics
NPI:1477864114
Name:SINGH, PRIYANKA (MD)
Entity Type:Individual
Prefix:
First Name:PRIYANKA
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
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:PO BOX 547
Mailing Address - Street 2:ATT: CVMC FINANCE DEPT.
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-0547
Mailing Address - Country:US
Mailing Address - Phone:802-371-5961
Mailing Address - Fax:802-371-5960
Practice Address - Street 1:130 FISHER RD STE 1-4
Practice Address - Street 2:CVMC WOMEN'S HEALTH
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05602-9000
Practice Address - Country:US
Practice Address - Phone:802-371-5961
Practice Address - Fax:802-371-5960
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011020301207V00000X
VT042.0013240207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology