Provider Demographics
NPI:1851397665
Name:SINGH, SHALINEE M (MD)
Entity Type:Individual
Prefix:DR
First Name:SHALINEE
Middle Name:M
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHALINEE
Other - Middle Name:
Other - Last Name:MANOCHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2400 HOSPITAL DR
Mailing Address - Street 2:STE 120
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-2386
Mailing Address - Country:US
Mailing Address - Phone:318-742-6710
Mailing Address - Fax:318-747-5393
Practice Address - Street 1:2400 HOSPITAL DR
Practice Address - Street 2:STE 120
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-2386
Practice Address - Country:US
Practice Address - Phone:318-742-6710
Practice Address - Fax:318-747-5393
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13163R208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1559130Medicaid
G96654Medicare UPIN