Provider Demographics
NPI:1982689964
Name:SINGA, MADHAVIAH R (MD)
Entity Type:Individual
Prefix:DR
First Name:MADHAVIAH
Middle Name:R
Last Name:SINGA
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 1:2617 OXFORD CT
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-1794
Mailing Address - Country:US
Mailing Address - Phone:630-707-2009
Mailing Address - Fax:
Practice Address - Street 1:2617 OXFORD CT
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-1794
Practice Address - Country:US
Practice Address - Phone:630-707-2009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-061424207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL207704Medicare ID - Type Unspecified
ILC44739Medicare UPIN