Provider Demographics
NPI:1992221766
Name:SINGH, ANINDER
Entity Type:Individual
Prefix:
First Name:ANINDER
Middle Name:
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 1:9498 CHARTER GATE DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-5171
Mailing Address - Country:US
Mailing Address - Phone:804-550-4912
Mailing Address - Fax:804-550-9181
Practice Address - Street 1:9498 CHARTER GATE DR
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-5171
Practice Address - Country:US
Practice Address - Phone:804-550-4912
Practice Address - Fax:804-550-9181
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-14
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202217218183500000X
CA76748183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist