Provider Demographics
NPI:1881696730
Name:SINGHAL, AJAY K (MD)
Entity type:Individual
Prefix:
First Name:AJAY
Middle Name:K
Last Name:SINGHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1434 HOPELAND RD
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-2206
Mailing Address - Country:US
Mailing Address - Phone:215-576-0138
Mailing Address - Fax:215-780-1779
Practice Address - Street 1:1648 HUNTINGDON PIKE
Practice Address - Street 2:
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-8001
Practice Address - Country:US
Practice Address - Phone:215-938-2119
Practice Address - Fax:215-938-2112
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2011-05-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD053240L207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014862440023Medicaid
E61924Medicare UPIN
PA0014862440023Medicaid