Provider Demographics
NPI:1730383985
Name:SINGH, AVINASH (MD FCCP)
Entity type:Individual
Prefix:DR
First Name:AVINASH
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD FCCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 ANDERSON AVE
Mailing Address - Street 2:BLDG C
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-7602
Mailing Address - Country:US
Mailing Address - Phone:785-539-3504
Mailing Address - Fax:785-539-8597
Practice Address - Street 1:4201 ANDERSON AVE
Practice Address - Street 2:BLDG C
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-7602
Practice Address - Country:US
Practice Address - Phone:785-539-3504
Practice Address - Fax:785-539-8597
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-32404207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200440420AMedicaid
KS106420Medicare PIN