Provider Demographics
NPI:1770587313
Name:SINGH, ANIL K (MD)
Entity type:Individual
Prefix:DR
First Name:ANIL
Middle Name:K
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12502 WILLOWBROOK RD
Mailing Address - Street 2:SUITE 640
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-6393
Mailing Address - Country:US
Mailing Address - Phone:301-723-3780
Mailing Address - Fax:301-723-4089
Practice Address - Street 1:12502 WILLOWBROOK RD
Practice Address - Street 2:SUITE 640
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-6393
Practice Address - Country:US
Practice Address - Phone:301-723-3780
Practice Address - Fax:301-723-4089
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0004981174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD084991000Medicaid
060021127OtherRAILROAD MEDICARE
WV00763180000Medicaid
F57398Medicare UPIN
060021127OtherRAILROAD MEDICARE