Provider Demographics
NPI:1861631996
Name:VISHAL D. SINGH, MD, PC
Entity Type:Organization
Organization Name:VISHAL D. SINGH, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:VISHAL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-546-0240
Mailing Address - Street 1:13613 W CAMINO DEL SOL
Mailing Address - Street 2:#1
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-4480
Mailing Address - Country:US
Mailing Address - Phone:623-546-0240
Mailing Address - Fax:623-546-9877
Practice Address - Street 1:13613 W CAMINO DEL SOL
Practice Address - Street 2:#1
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4480
Practice Address - Country:US
Practice Address - Phone:623-546-0240
Practice Address - Fax:623-546-9877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28331207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty