Provider Demographics
NPI:1881682094
Name:SINGER, MAXIMO (M,D)
Entity Type:Individual
Prefix:DR
First Name:MAXIMO
Middle Name:
Last Name:SINGER
Suffix:
Gender:M
Credentials:M,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7325 HANOVER PKWY
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3618
Mailing Address - Country:US
Mailing Address - Phone:301-220-2681
Mailing Address - Fax:301-220-2698
Practice Address - Street 1:7325 HANOVER PKWY
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3618
Practice Address - Country:US
Practice Address - Phone:301-220-2681
Practice Address - Fax:301-220-2698
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM07339174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
052890OtherAETNA
05644OtherAMERIGROUP
172444410OtherTRICARE
35107OtherMAMSI
MD7779MOtherCAREFIRST
090336OtherANTHEM
1109794OtherCIGNA
35107OtherMDIPA
2900193OtherUNITED HEALTH CARE
DCA669OtherCAREFIRST
MD319161300Medicaid
35107OtherOPTIMUM CHOICE
35107OtherONENET
MD521681763OtherFEDID
MD319161300Medicaid