Provider Demographics
NPI:1942246186
Name:SINGH, RAJENDRA P
Entity Type:Individual
Prefix:DR
First Name:RAJENDRA
Middle Name:P
Last Name:SINGH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-1507
Mailing Address - Country:US
Mailing Address - Phone:585-276-7575
Mailing Address - Fax:585-426-0976
Practice Address - Street 1:2135 BUFFALO RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-1507
Practice Address - Country:US
Practice Address - Phone:585-276-7575
Practice Address - Fax:585-426-0976
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY170666207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01036213Medicaid
NYCC1168Medicare PIN
NY01036213Medicaid
NYJ400260073Medicare PIN