Provider Demographics
NPI:1881870905
Name:SINGH, ANUJIT (DO)
Entity type:Individual
Prefix:DR
First Name:ANUJIT
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ANUJIT
Other - Middle Name:
Other - Last Name:BHAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:100 HOSPITAL AVE
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-1440
Mailing Address - Country:US
Mailing Address - Phone:814-375-4200
Mailing Address - Fax:814-342-4232
Practice Address - Street 1:761 JOHNSONBURG RD
Practice Address - Street 2:SUITE 220
Practice Address - City:SAINT MARYS
Practice Address - State:PA
Practice Address - Zip Code:15857-3483
Practice Address - Country:US
Practice Address - Phone:814-788-8184
Practice Address - Fax:814-788-8078
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014500207R00000X, 207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102187565 0002Medicaid
PA002060487OtherHIGHMARK BLUE SHIELD ID
PA129357Medicare PIN