Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT189966 | PA |
N | 111NI0900X | Internist | MT189966 | PA |
Y | 207W00000X | Ophthalmologist | 0436270 | KS |
N | 207W00000X | Ophthalmologist | 2013006329 | MO |
N | 207W00000X | Ophthalmologist | 55543-20 | WI |
N | 207W00000X | Ophthalmologist | MT189966 | PA |
N | 207WX0107X | Retina Specialist | 0436270 | KS |
N | 207WX0107X | Retina Specialist | 2013006329 | MO |
NPI | 1013119262 |
---|---|
Provider Name | Ravi S Singh |
First Address | Lenexa, KS 66215-2857 |
Second Address | Lenexa, KS 66215-2857 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 11/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200009940 | (05) | MO |
201101580A | (05) | KS |