Provider Demographics
NPI:1598850992
Name:SINGH, SAWRAJ (MD)
Entity Type:Individual
Prefix:DR
First Name:SAWRAJ
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E MOUNTAIN VIEW AVE
Mailing Address - Street 2:STE 502
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-4802
Mailing Address - Country:US
Mailing Address - Phone:509-925-8500
Mailing Address - Fax:509-962-3744
Practice Address - Street 1:700 E MOUNTAIN VIEW AVE STE 502
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-4802
Practice Address - Country:US
Practice Address - Phone:509-925-8500
Practice Address - Fax:509-962-3744
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA24891208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1034099Medicaid
WAB18220Medicare UPIN