Provider Demographics
NPI:1831367515
Name:SINGLA, VIKAS (MD)
Entity type:Individual
Prefix:DR
First Name:VIKAS
Middle Name:
Last Name:SINGLA
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 1:425 ESSJAY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5782
Mailing Address - Country:US
Mailing Address - Phone:716-630-1174
Mailing Address - Fax:716-817-1764
Practice Address - Street 1:325 ESSJAY RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8243
Practice Address - Country:US
Practice Address - Phone:716-630-1143
Practice Address - Fax:716-817-1764
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247522207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03048611Medicaid
NYP00695611-RR-MCRMedicare PIN
NYJ400000730-BA0017 GRMedicare PIN
ME000961001Medicare PIN
NYJ400090280Medicare PIN
NYJ400000727-70008A GPMedicare PIN