Basic Information
Provider Information
NPI: 1053689901
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: AMARINDER
MiddleName: PAL
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: DEPT CH 14389
Address2:  
City: PALATINE
State: IL
PostalCode: 600554389
CountryCode: US
TelephoneNumber: 7852955307
FaxNumber: 7852707646
Practice Location
Address1: 1700 SW 7TH STREET
Address2:  
City: TOPEKA
State: KS
PostalCode: 666061690
CountryCode: US
TelephoneNumber: 7852958000
FaxNumber: 7852315988
Other Information
ProviderEnumerationDate: 12/07/2011
LastUpdateDate: 06/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X0101252721VAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X04-36192KSN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X04-36192KSN Allopathic & Osteopathic PhysiciansHospitalist 
208M00000X51535CTY Allopathic & Osteopathic PhysiciansHospitalist 

ID Information
IDTypeStateIssuerDescription
105368990105VA MEDICAID


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