Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 01052055A | IN |
NPI | 1003880527 |
---|---|
Provider Name | Gita S Singh |
First Address | Fort Wayne, IN 46845-1701 |
Second Address | Fort Wayne, IN 46825-1675 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 09/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000174445 | ANTHEM BC/BS (01) | IN |
0748972 | (05) | OH |
100081380 | (05) | IN |
200248870 | (05) | IN |
2567771 | (05) | OH |
G24325 | (02) | IN |