Provider Demographics
NPI:1265502876
Name:SINGH, PRIYA C (MD)
Entity type:Individual
Prefix:
First Name:PRIYA
Middle Name:C
Last Name:SINGH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 FROST ST STE 301
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4237
Mailing Address - Country:US
Mailing Address - Phone:858-939-6622
Mailing Address - Fax:
Practice Address - Street 1:8010 FROST ST STE 301
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4237
Practice Address - Country:US
Practice Address - Phone:858-939-6622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0010933207RH0000X, 207RX0202X
NJ25MA08384600207RH0003X
CAC175495207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA08384600OtherMEDICAL LICENSE
DEC10010933OtherMEDICAL LICENSE
CAC175495OtherMEDICAL LICENSE