Provider Demographics
NPI:1952437899
Name:SINGH, WINSTON (RDMS, RVT, RDCS)
Entity Type:Individual
Prefix:MR
First Name:WINSTON
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:RDMS, RVT, RDCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2109 NE 62ND CT
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1361
Mailing Address - Country:US
Mailing Address - Phone:954-984-9480
Mailing Address - Fax:954-545-4808
Practice Address - Street 1:2109 NE 62ND CT
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-1361
Practice Address - Country:US
Practice Address - Phone:954-752-3257
Practice Address - Fax:954-752-3542
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00539972471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE5204Medicare ID - Type UnspecifiedFLORIDA MEDICARE