Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 49864 | FL |
N | 207R00000X | Internist | 49864 | FL |
N | 111NI0900X | Internist | 49864 | FL |
Y | 207RC0000X | Internist - Cardiovascular Disease | ME0049864 | FL |
NPI | 1093700874 |
---|---|
Provider Name | Manoranjan P Singh |
First Address | Ocala, FL 34471-5426 |
Second Address | Ocala, FL 34471-5426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2005 |
Last Update Date | 17/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
047834200 | (05) | FL |
D84825 | (02) |