Provider Demographics
NPI:1639148943
Name:SINGH, VIRENDER PAL (MD)
Entity Type:Individual
Prefix:DR
First Name:VIRENDER
Middle Name:PAL
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 1:7207 HANOVER PKWY B
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2015
Mailing Address - Country:US
Mailing Address - Phone:301-441-2001
Mailing Address - Fax:301-441-2982
Practice Address - Street 1:7207 HANOVER PKWY B
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2015
Practice Address - Country:US
Practice Address - Phone:301-441-2001
Practice Address - Fax:301-441-2982
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD19897207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD772921900Medicaid
MDC61895Medicare UPIN
MD772921900Medicaid