Provider Demographics
NPI:1548854763
Name:SINGH, PRIYANKA (RD)
Entity type:Individual
Prefix:
First Name:PRIYANKA
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 EXETER LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60554-9468
Mailing Address - Country:US
Mailing Address - Phone:630-363-9348
Mailing Address - Fax:
Practice Address - Street 1:224 EXETER LN
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:IL
Practice Address - Zip Code:60554-9468
Practice Address - Country:US
Practice Address - Phone:630-363-9348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-28
Last Update Date:2021-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered