Provider Demographics
NPI:1265974158
Name:SINGHAL, KUNAL (PT PHD)
Entity type:Individual
Prefix:
First Name:KUNAL
Middle Name:
Last Name:SINGHAL
Suffix:
Gender:M
Credentials:PT PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 MADISON
Mailing Address - Street 2:SUITE 415
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38163-2243
Mailing Address - Country:US
Mailing Address - Phone:901-448-5888
Mailing Address - Fax:901-448-1411
Practice Address - Street 1:920 MADISON
Practice Address - Street 2:SUITE 415
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38163-2243
Practice Address - Country:US
Practice Address - Phone:901-448-5888
Practice Address - Fax:901-448-1411
Is Sole Proprietor?:No
Enumeration Date:2016-11-09
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10284225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3133295OtherBLUE CROSS BLUE SHIELD OF TN
TN0446645Medicaid
TN446645Medicare UPIN