Provider Demographics
NPI:1841252657
Name:SINGH, SATYA P (MD)
Entity type:Individual
Prefix:DR
First Name:SATYA
Middle Name:P
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 1:300 NW 70TH AVE
Mailing Address - Street 2:SUITE205
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2384
Mailing Address - Country:US
Mailing Address - Phone:954-321-5428
Mailing Address - Fax:954-583-0660
Practice Address - Street 1:300 NW 70TH AVE
Practice Address - Street 2:SUITE205
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2384
Practice Address - Country:US
Practice Address - Phone:954-321-5428
Practice Address - Fax:954-583-0660
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0052146174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL049616200Medicaid
FL049616200Medicaid
FLD61324Medicare UPIN