Provider Demographics
NPI:1568634517
Name:SINGH, PAULEENA ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULEENA
Middle Name:ELIZABETH
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4401 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5201
Mailing Address - Country:US
Mailing Address - Phone:954-990-5723
Mailing Address - Fax:954-990-6962
Practice Address - Street 1:4401 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5201
Practice Address - Country:US
Practice Address - Phone:954-990-5723
Practice Address - Fax:954-990-6962
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301086958207Q00000X
FLME126045207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine