Provider Demographics
NPI:1629423652
Name:SINGH, RAJNI (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJNI
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15400 WEST MCNICHOLS
Mailing Address - Street 2:DMC WAYNE STATE UNIVERSITY FAMILY MEDICINE RESIDENCY PR
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235
Mailing Address - Country:US
Mailing Address - Phone:313-416-6250
Mailing Address - Fax:
Practice Address - Street 1:6001 W OUTER DR STE 430
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-2626
Practice Address - Country:US
Practice Address - Phone:313-966-9095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2022-09-27
Deactivation Date:2016-12-14
Deactivation Code:
Reactivation Date:2017-03-21
Provider Licenses
StateLicense IDTaxonomies
MI4301110051207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine