Provider Demographics
NPI:1245336007
Name:SINGH, DEVINDER PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:DEVINDER
Middle Name:PAUL
Last Name:SINGH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9008 LONE STAR CT
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-1851
Mailing Address - Country:US
Mailing Address - Phone:703-550-0472
Mailing Address - Fax:
Practice Address - Street 1:1609 WASHINGTON PLZ N STE B
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-4346
Practice Address - Country:US
Practice Address - Phone:703-464-5597
Practice Address - Fax:703-464-5549
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556277111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA179535OtherANTHEM BCBS
VAK466OtherCAREFIRST BCBS
VAK466OtherCAREFIRST BCBS
VA902006T01Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER