Provider Demographics
NPI:1689745119
Name:SINGLA, RAJANISH (MD)
Entity Type:Individual
Prefix:
First Name:RAJANISH
Middle Name:
Last Name:SINGLA
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 1:19 VINTAGE WALK
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:OH
Mailing Address - Zip Code:45249-2102
Mailing Address - Country:US
Mailing Address - Phone:513-516-7502
Mailing Address - Fax:
Practice Address - Street 1:19 VINTAGE WALK
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45249-2102
Practice Address - Country:US
Practice Address - Phone:513-516-7502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD 0355202085R0001X
OH35.0844692085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2485887Medicaid
OHP01137579OtherMEDICARE RAILROAD
OHH100480Medicare PIN
KYK087200Medicare PIN
OH2485887Medicaid