Provider Demographics
NPI:1669444857
Name:SINGH, SATISH K (MD)
Entity Type:Individual
Prefix:DR
First Name:SATISH
Middle Name:K
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:150 S HUNTINGTON AVE # GI-111
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130-4817
Mailing Address - Country:US
Mailing Address - Phone:857-364-4327
Mailing Address - Fax:857-364-4179
Practice Address - Street 1:150 S HUNTINGTON AVE # GI-111
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-4817
Practice Address - Country:US
Practice Address - Phone:857-364-4327
Practice Address - Fax:857-364-4179
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA208838207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0199541Medicaid
MASX1563Medicare PIN