Basic Information
Provider Information
NPI: 1376551382
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: AJAY
MiddleName: K
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 75 FRANCIS STREET
Address2: BRIGHAM AND WOMENS HOSPITAL RENAL DIVISION
City: BOSTON
State: MA
PostalCode: 02115
CountryCode: US
TelephoneNumber: 6177325951
FaxNumber: 6177326392
Practice Location
Address1: 75 FRANCIS STREET
Address2: BRIGHAM AND WOMENS HOSPITAL RENAL DIVISION
City: BOSTON
State: MA
PostalCode: 02115
CountryCode: US
TelephoneNumber: 6177325951
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/04/2006
LastUpdateDate: 04/20/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300X71991MAY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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