Provider Demographics
NPI:1831410356
Name:SINGH, MANISHA (MD)
Entity type:Individual
Prefix:
First Name:MANISHA
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 WEST MARKHAM
Mailing Address - Street 2:#634
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205
Mailing Address - Country:US
Mailing Address - Phone:501-686-7592
Mailing Address - Fax:501-686-6001
Practice Address - Street 1:4301 WEST MARKHAM
Practice Address - Street 2:#634, DEPARTMENT OF INTERNAL MEDICINE
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-686-7592
Practice Address - Fax:501-686-6001
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ARE-7971207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program