Provider Demographics
NPI:1831357227
Name:SINGH, SAMEER KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:SAMEER
Middle Name:KUMAR
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 1:3600 GASTON AVE STE 1205
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1812
Mailing Address - Country:US
Mailing Address - Phone:214-692-8262
Mailing Address - Fax:214-696-4190
Practice Address - Street 1:4325 N JOSEY LN STE 206
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4637
Practice Address - Country:US
Practice Address - Phone:214-915-8515
Practice Address - Fax:469-892-2312
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1-0032093208600000X
TXN7969208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX338520501OtherMEDICAID - OTHER
TX362520YNECOtherMEDICARE TARRANT
TX362520YNEDOtherMEDICARE DALLAS
TX362520YND4OtherMEDICARE 99
TX362520YL7AOtherMEDICARE - OTHER
TX362520YL7BOtherMEDICARE - DALLAS