Provider Demographics
NPI:1750497293
Name:SINGH, NEHAL (MD)
Entity Type:Individual
Prefix:DR
First Name:NEHAL
Middle Name:
Last Name:SINGH
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 1:10020 DUPONT CIRCLE CT STE 120
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-1621
Mailing Address - Country:US
Mailing Address - Phone:260-471-7233
Mailing Address - Fax:260-471-4602
Practice Address - Street 1:10020 DUPONT CIRCLE CT STE 120
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-1621
Practice Address - Country:US
Practice Address - Phone:260-471-7233
Practice Address - Fax:260-471-4602
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01042480A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN147720OtherMEDICARE ID - FAMILY PRACTICE
IN100326370Medicaid
IN100326370Medicaid