Provider Demographics
NPI:1679555189
Name:SINGH, MUKESH K (MD)
Entity Type:Individual
Prefix:DR
First Name:MUKESH
Middle Name:K
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1553 STATE ROUTE 27
Mailing Address - Street 2:SUITE # 3300
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3980
Mailing Address - Country:US
Mailing Address - Phone:732-418-0589
Mailing Address - Fax:732-418-9428
Practice Address - Street 1:1553 STATE ROUTE 27
Practice Address - Street 2:SUITE # 3300
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3980
Practice Address - Country:US
Practice Address - Phone:732-418-0589
Practice Address - Fax:732-418-9428
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA5775400207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6971903Medicaid
NJF27244Medicare UPIN
NJ722663Medicare PIN