Provider Demographics
NPI:1831133818
Name:SINGH, RAJENDRA PRATAP (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJENDRA
Middle Name:PRATAP
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 1:201 WOODCREST DR
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3633
Mailing Address - Country:US
Mailing Address - Phone:304-255-5287
Mailing Address - Fax:304-255-5288
Practice Address - Street 1:321 S EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-5849
Practice Address - Country:US
Practice Address - Phone:304-277-8437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV10429208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0127787000Medicaid
WV0465762Medicare ID - Type Unspecified
WV0127787000Medicaid