Provider Demographics
NPI:1538166376
Name:SINGH, ASHUTOSH (MD)
Entity type:Individual
Prefix:DR
First Name:ASHUTOSH
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 1:200 NEW YORK AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-5225
Mailing Address - Country:US
Mailing Address - Phone:865-483-7511
Mailing Address - Fax:865-483-7959
Practice Address - Street 1:200 NEW YORK AVE STE 330
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-5225
Practice Address - Country:US
Practice Address - Phone:865-483-7511
Practice Address - Fax:865-483-7959
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD39067207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
103G701530Medicare PIN
TNI23171Medicare UPIN