Provider Demographics
NPI:1033198064
Name:SINGH, AJIT (MD)
Entity type:Individual
Prefix:DR
First Name:AJIT
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9171 LAPEER RD
Mailing Address - Street 2:STE 100
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-3617
Mailing Address - Country:US
Mailing Address - Phone:810-412-5590
Mailing Address - Fax:810-412-5593
Practice Address - Street 1:9171 LAPEER RD
Practice Address - Street 2:STE 100
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-3617
Practice Address - Country:US
Practice Address - Phone:810-412-5590
Practice Address - Fax:810-412-5593
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301055549207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0108242472OtherBCBS
MI10-4587901Medicaid
MIF38627Medicare UPIN
MI0108242472OtherBCBS
MI10-4587901Medicaid