Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 036133946 | IL |
Y | 208600000X | Surgeon | 036133946 | IL |
N | 208200000X | Surgeon | 57015689 | OH |
N | 208600000X | Surgeon | 57015689 | OH |
NPI | 1013161538 |
---|---|
Provider Name | Dr. Ranjodh Singh |
First Address | Decatur, IL 62526-4163 |
Second Address | Decatur, IL 62526-6303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2008 |
Last Update Date | 20/10/2021 |