Provider Demographics
NPI:1558356287
Name:SINGH, RAKESH K (MD)
Entity Type:Individual
Prefix:
First Name:RAKESH
Middle Name:K
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 RXR PLZ FL 13
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11556-1301
Mailing Address - Country:US
Mailing Address - Phone:516-453-0435
Mailing Address - Fax:646-846-3283
Practice Address - Street 1:16 TETERBORO LANDING DR
Practice Address - Street 2:
Practice Address - City:TETERBORO
Practice Address - State:NJ
Practice Address - Zip Code:07608
Practice Address - Country:US
Practice Address - Phone:201-354-1953
Practice Address - Fax:201-354-1954
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192235207R00000X
NJ25MA05736000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6420401Medicaid
P00404155Medicare PIN
NJF78665Medicare UPIN
NJ6420401Medicaid
NY777232Medicare PIN