Provider Demographics
NPI:1639353204
Name:ANILKUMAR SINGH MD SC
Entity Type:Organization
Organization Name:ANILKUMAR SINGH MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:ANILKUMAR
Authorized Official - Middle Name:MOONILAL
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-281-0502
Mailing Address - Street 1:2745 W LAYTON AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53221-2651
Mailing Address - Country:US
Mailing Address - Phone:414-281-0502
Mailing Address - Fax:414-281-2878
Practice Address - Street 1:2745 W LAYTON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53221-2651
Practice Address - Country:US
Practice Address - Phone:414-281-0502
Practice Address - Fax:414-281-2878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty