Provider Demographics
NPI:1497755664
Name:SINGH, ANJALI H (MD)
Entity Type:Individual
Prefix:DR
First Name:ANJALI
Middle Name:H
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14153 YOSEMITE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-8060
Mailing Address - Country:US
Mailing Address - Phone:727-222-0806
Mailing Address - Fax:727-233-9737
Practice Address - Street 1:14153 YOSEMITE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-8060
Practice Address - Country:US
Practice Address - Phone:727-222-0806
Practice Address - Fax:727-233-9737
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME73174207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL41916OtherFLORIDA BCBS
FL41916ZMedicare UPIN