Provider Demographics
NPI:1740458330
Name:SINGAL & SINGAL M.D., P.C.
Entity type:Organization
Organization Name:SINGAL & SINGAL M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:SUDARSHAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SINGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-283-4460
Mailing Address - Street 1:2070 BIDDLE AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:WYANDOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48192-4080
Mailing Address - Country:US
Mailing Address - Phone:734-283-4460
Mailing Address - Fax:734-283-6560
Practice Address - Street 1:2070 BIDDLE AVE STE 1
Practice Address - Street 2:
Practice Address - City:WYANDOTTE
Practice Address - State:MI
Practice Address - Zip Code:48192-4080
Practice Address - Country:US
Practice Address - Phone:734-283-4460
Practice Address - Fax:734-283-6560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIUS040230207R00000X
MISS032938207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B44342OtherUPIN
MI700H239850OtherBCBSM
F06140OtherUPIN
MI0M18780Medicare PIN