Basic Information
| Provider Information | |||||||||
| NPI: | 1316224579 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINGH | ||||||||
| FirstName: | SUKHRAJ | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2255 GLADES RD STE 228W | ||||||||
| Address2: | |||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334317391 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5613498388 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5750 MAJOR BLVD STE 150 | ||||||||
| Address2: | |||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328197971 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4074098118 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2011 | ||||||||
| LastUpdateDate: | 10/13/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | ME157922 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.