Provider Demographics
NPI:1609825249
Name:SINGHAL, VIRENDER KUMAR (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:VIRENDER
Middle Name:KUMAR
Last Name:SINGHAL
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9081 NE 81ST TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64158-1167
Mailing Address - Country:US
Mailing Address - Phone:816-429-7576
Mailing Address - Fax:816-429-7576
Practice Address - Street 1:5250 W 94TH TER
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66207-2502
Practice Address - Country:US
Practice Address - Phone:800-518-9314
Practice Address - Fax:800-518-9514
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO109002208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208007914Medicaid
2699953Medicare ID - Type Unspecified
G13388Medicare UPIN