Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MD030739E | PA |
N | 207RI0200X | Infectious Disease | MD030739E | PA |
NPI | 1598760571 |
---|---|
Provider Name | Dr. Rajendra Singh |
First Address | Pottsville, PA 17901-1337 |
Second Address | Pottsville, PA 17901-1337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 30/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C30838 | (02) | PA |