Provider Demographics
NPI:1598159634
Name:RACHEL J. SINGH, DPM, LLC
Entity Type:Organization
Organization Name:RACHEL J. SINGH, DPM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:JUNG
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-450-3081
Mailing Address - Street 1:3000 VILLAGE RUN RD STE 103
Mailing Address - Street 2:UNIT103, #167
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-6315
Mailing Address - Country:US
Mailing Address - Phone:469-450-3081
Mailing Address - Fax:
Practice Address - Street 1:105 BRANDT DR
Practice Address - Street 2:#204
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-6437
Practice Address - Country:US
Practice Address - Phone:724-742-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty