Provider Demographics
NPI:1336527316
Name:ROHIT SINGH MD PC
Entity Type:Organization
Organization Name:ROHIT SINGH MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-718-1307
Mailing Address - Street 1:PO BOX 1713
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-0713
Mailing Address - Country:US
Mailing Address - Phone:570-718-1307
Mailing Address - Fax:570-718-1309
Practice Address - Street 1:468 NORTHAMPTON ST
Practice Address - Street 2:STE 103
Practice Address - City:EDWARDSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18704-4566
Practice Address - Country:US
Practice Address - Phone:570-718-1307
Practice Address - Fax:570-718-1309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD423275207L00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1009456210002Medicaid
PA1009456210002Medicaid
PA077783JLFMedicare PIN