Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | ME117779 | FL |
NPI | 1629159793 |
---|---|
Provider Name | Dr. Vinod Singh |
First Address | Riverview, FL 33579-7037 |
Second Address | Odessa, FL 33556-3024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 24/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010053500 | (05) | FL |
890160W | (05) | NC |
A88587 | (02) | NC |
IM319Z | MEDICARE PTAN (01) | FL |
RS05K | BLUE CROSS (01) | FL |