Provider Demographics
NPI:1841218799
Name:SINGH, RAJPAUL (MD)
Entity Type:Individual
Prefix:
First Name:RAJPAUL
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 1:19503 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-2014
Mailing Address - Country:US
Mailing Address - Phone:718-465-3002
Mailing Address - Fax:718-465-3115
Practice Address - Street 1:19503 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-2014
Practice Address - Country:US
Practice Address - Phone:718-465-3002
Practice Address - Fax:718-465-3115
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2127222084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02105273Medicaid
NY03417Medicare ID - Type UnspecifiedQUEENS
NYG89597Medicare UPIN