Provider Demographics
NPI:1902970619
Name:SINGHAL, YATINDER M (MD)
Entity Type:Individual
Prefix:DR
First Name:YATINDER
Middle Name:M
Last Name:SINGHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3541 RIDGEVIEW COURT
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0569
Mailing Address - Country:US
Mailing Address - Phone:248-334-2336
Mailing Address - Fax:248-335-4680
Practice Address - Street 1:43368 WOODWARD
Practice Address - Street 2:SUITE 102
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0569
Practice Address - Country:US
Practice Address - Phone:248-335-1130
Practice Address - Fax:248-335-4680
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010395262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1396826Medicaid
B43253Medicare UPIN
MI1396826Medicaid