Provider Demographics
NPI:1629258934
Name:SINGH & AVERBACH, LLC
Entity Type:Organization
Organization Name:SINGH & AVERBACH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:DEGELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-368-8725
Mailing Address - Street 1:700 GEIPE RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4147
Mailing Address - Country:US
Mailing Address - Phone:410-368-8725
Mailing Address - Fax:410-368-8726
Practice Address - Street 1:700 GEIPE RD
Practice Address - Street 2:SUITE 203
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4147
Practice Address - Country:US
Practice Address - Phone:410-368-8725
Practice Address - Fax:410-368-8726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD368FMedicare PIN
MD369FMedicare PIN