Provider Demographics
NPI:1497175681
Name:SINGH, MALKIT KAUR (MD MPA)
Entity type:Individual
Prefix:DR
First Name:MALKIT
Middle Name:KAUR
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD MPA
Other - Prefix:DR
Other - First Name:MONA
Other - Middle Name:
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD MPA
Mailing Address - Street 1:4613 DALE BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-4738
Mailing Address - Country:US
Mailing Address - Phone:703-851-2778
Mailing Address - Fax:
Practice Address - Street 1:45 N HILL DR STE 202
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2677
Practice Address - Country:US
Practice Address - Phone:540-349-1882
Practice Address - Fax:703-738-7157
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-26
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV30812207W00000X
MA278612207W00000X
VA0101258955207W00000X
PAMD475011207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology