Provider Demographics
NPI:1952769754
Name:R N SINGH ENTERPRISES PLLC
Entity Type:Organization
Organization Name:R N SINGH ENTERPRISES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VINOD
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-401-3046
Mailing Address - Street 1:11760 LYNMOOR DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-7037
Mailing Address - Country:US
Mailing Address - Phone:813-401-3046
Mailing Address - Fax:727-712-0010
Practice Address - Street 1:11760 LYNMOOR DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33579-7037
Practice Address - Country:US
Practice Address - Phone:813-401-3046
Practice Address - Fax:727-712-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-08
Last Update Date:2017-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME117779207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010053500Medicaid
FLIM320AOtherMEDICARE PTAN
NCA88587Medicare UPIN