Provider Demographics
NPI:1639207707
Name:SINGLA, ANAND (MBBS)
Entity Type:Individual
Prefix:DR
First Name:ANAND
Middle Name:
Last Name:SINGLA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 E CEDAR ST
Mailing Address - Street 2:STE 200
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-2057
Mailing Address - Country:US
Mailing Address - Phone:574-335-8707
Mailing Address - Fax:574-335-0741
Practice Address - Street 1:2349 LAKE AVE
Practice Address - Street 2:SUITE 99
Practice Address - City:PLYMOUTH
Practice Address - State:IN
Practice Address - Zip Code:46563-7835
Practice Address - Country:US
Practice Address - Phone:574-948-5340
Practice Address - Fax:574-948-5494
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP20613207R00000X
IN01074152207R00000X
IN01074152A207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201241980Medicaid
IN201241980Medicaid
INP01527074OtherRR MEDICARE
INP01527074OtherRR MEDICARE