Provider Demographics
NPI:1538101696
Name:SINGLA, DHARAM PAUL (MD)
Entity Type:Individual
Prefix:MR
First Name:DHARAM
Middle Name:PAUL
Last Name:SINGLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:38 DUNCAN ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WARSAW
Mailing Address - State:NY
Mailing Address - Zip Code:14569
Mailing Address - Country:US
Mailing Address - Phone:585-786-3851
Mailing Address - Fax:585-786-5021
Practice Address - Street 1:38 DUNCAN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569
Practice Address - Country:US
Practice Address - Phone:585-786-3851
Practice Address - Fax:585-786-5021
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY141861207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00799739Medicaid
B71043Medicare UPIN
NY00799739Medicaid