Provider Demographics
NPI:1821201666
Name:SINGH, AVINA KAPOOR (MD)
Entity Type:Individual
Prefix:
First Name:AVINA
Middle Name:KAPOOR
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AVINA
Other - Middle Name:
Other - Last Name:KAPOOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:675 E NICOLLET BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-6749
Mailing Address - Country:US
Mailing Address - Phone:952-892-7190
Mailing Address - Fax:952-892-7956
Practice Address - Street 1:675 E NICOLLET BLVD STE 100
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-6749
Practice Address - Country:US
Practice Address - Phone:952-892-7190
Practice Address - Fax:952-892-7956
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN49617207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN136D4SIOtherBLUECROSS/BLUESHIELD
MNHP79138OtherHEALTHPARTNERS
MN051OtherAMERICA'S PPO
WI34787500Medicaid
MN017617000Medicaid
MN1050664OtherPREFERREDONE
MN139266OtherUCARE
MN139266OtherUCARE