Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 133 | AL |
NPI | 1083609093 |
---|---|
Provider Name | Dr. Sanjeev K Singh |
First Address | Troy, AL 36081-1166 |
Second Address | Troy, AL 36081 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 13/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
74167 | BCBS (01) | AL |
U34768 | (02) | AL |