Provider Demographics
NPI:1821060732
Name:SINGH, RAJENDER (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJENDER
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:PO BOX 4888
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30023-4888
Mailing Address - Country:US
Mailing Address - Phone:770-821-1940
Mailing Address - Fax:770-821-1950
Practice Address - Street 1:5755 N POINT PKWY STE 220
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1171
Practice Address - Country:US
Practice Address - Phone:770-821-1940
Practice Address - Fax:770-821-1950
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA049523207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000899797CMedicaid
GA049523OtherGA MEDICAL LICENSE
GA112399OtherPEACH STATE HEALTH PLAN
GA01052398OtherAMERIGROUP
GA653835OtherWELLCARE
GA01052398OtherAMERIGROUP
G24320Medicare UPIN