Provider Demographics
NPI:1760643118
Name:SINGH, SATNAM K (MD)
Entity Type:Individual
Prefix:
First Name:SATNAM
Middle Name:K
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9916 75TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53142-7583
Mailing Address - Country:US
Mailing Address - Phone:262-942-4760
Mailing Address - Fax:262-942-4761
Practice Address - Street 1:9916 75TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-7583
Practice Address - Country:US
Practice Address - Phone:262-942-4760
Practice Address - Fax:262-942-4761
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI17811207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WID79181Medicare UPIN