Basic Information
Provider Information
NPI: 1376823179
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: ROHIT
MiddleName: INDER
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1115 SE 164TH AVE DEPT 358
Address2:  
City: VANCOUVER
State: WA
PostalCode: 986838004
CountryCode: US
TelephoneNumber: 3607291458
FaxNumber:  
Practice Location
Address1: 11109 PARKVIEW PLAZA DR
Address2:  
City: FORT WAYNE
State: IN
PostalCode: 46845
CountryCode: US
TelephoneNumber: 2602661000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/24/2011
LastUpdateDate: 09/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZH0000XMD61203491WAN Allopathic & Osteopathic PhysiciansPathologyHematology
207ZH0000X4301106629MIN Allopathic & Osteopathic PhysiciansPathologyHematology
207ZM0300XMD61203491WAN Allopathic & Osteopathic PhysiciansPathologyMedical Microbiology
207ZM0300X036135996ILN Allopathic & Osteopathic PhysiciansPathologyMedical Microbiology
207ZP0102X01078110AINN Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
207ZP0102XMD61203491WAY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


Home