Basic Information
Provider Information
NPI: 1285699124
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: RAGHBIR
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: C/O ANESCO NORTH BROWARD LLC
Address2: 3601 W COMMERCIAL BLVD STE 45
City: FORT LAUDERDALE
State: FL
PostalCode: 33309
CountryCode: US
TelephoneNumber: 9544855666
FaxNumber: 9544841651
Practice Location
Address1: C/O NORTH BROWARD MEDICAL CENTER
Address2: 201 EAST SAMPLE ROAD
City: DEERFIELD BEACH
State: FL
PostalCode: 33064
CountryCode: US
TelephoneNumber: 9547866755
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/20/2006
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XME33404FLY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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