Provider Demographics
NPI:1760599484
Name:MOHINDRA, MEETA SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:MEETA
Middle Name:SINGH
Last Name:MOHINDRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MEETA
Other - Middle Name:
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:31350 TELEGRAPH RD STE 202
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4366
Mailing Address - Country:US
Mailing Address - Phone:313-622-9754
Mailing Address - Fax:
Practice Address - Street 1:31350 TELEGRAPH RD STE 2022799
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4366
Practice Address - Country:US
Practice Address - Phone:313-622-9754
Practice Address - Fax:313-916-1249
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301084486207RS0012X
MI430844862084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS084486OtherCOMMERCIAL-COMMERCIAL NUMBER
MI479212510Medicaid
700H262290OtherBLUE CROSS-BLUE CROSS
MS084486OtherCHAMPUS-CHAMPUS
MS084486OtherCHAMPUS-CHAMPUS
H58017Medicare UPIN