Basic Information
| Provider Information | |||||||||
| NPI: | 1386138741 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SINGH | ||||||||
| FirstName: | RAJIV | ||||||||
| MiddleName: | NARAYAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 400 W 16TH ST | ||||||||
| Address2: | |||||||||
| City: | PUEBLO | ||||||||
| State: | CO | ||||||||
| PostalCode: | 810032781 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7195844561 | ||||||||
| FaxNumber: | 7195957589 | ||||||||
| Practice Location | |||||||||
| Address1: | 400 W 16TH ST | ||||||||
| Address2: | |||||||||
| City: | PUEBLO | ||||||||
| State: | CO | ||||||||
| PostalCode: | 810032781 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7195844561 | ||||||||
| FaxNumber: | 7195957589 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2018 | ||||||||
| LastUpdateDate: | 06/19/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | TL.0007440 | CO | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.