Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 35.133757 | OH |
NPI | 1023597143 |
---|---|
Provider Name | Rajiva Ranjan Singh |
First Address | Kettering, OH 45429-1262 |
Second Address | Kettering, OH 45429-1262 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2018 |
Last Update Date | 20/11/2020 |