Provider Demographics
NPI:1932131554
Name:SINGLA, RAJ K (MD)
Entity Type:Individual
Prefix:
First Name:RAJ
Middle Name:K
Last Name:SINGLA
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 1:3000 39TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-5517
Mailing Address - Country:US
Mailing Address - Phone:409-985-2569
Mailing Address - Fax:409-985-2915
Practice Address - Street 1:3000 39TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-5517
Practice Address - Country:US
Practice Address - Phone:409-985-2569
Practice Address - Fax:409-985-2915
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7613207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115687902Medicaid
4384595OtherAETNA
4384595OtherAETNA
C21864Medicare UPIN
00N97TMedicare PIN