Provider Demographics
NPI:1902867625
Name:SINGH, MANVINDER (MD)
Entity Type:Individual
Prefix:
First Name:MANVINDER
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41000 WOODWARD AVE
Mailing Address - Street 2:SUITE 100 EAST
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-5130
Mailing Address - Country:US
Mailing Address - Phone:248-593-6990
Mailing Address - Fax:248-593-5925
Practice Address - Street 1:41000 WOODWARD AVE
Practice Address - Street 2:SUITE 100 EAST
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-5130
Practice Address - Country:US
Practice Address - Phone:248-593-6990
Practice Address - Fax:248-593-5925
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301078900207VE0102X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F27725Medicare UPIN
F27725Medicare UPIN