Basic Information
| Provider Information | |||||||||
| NPI: | 1598262875 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINGH | ||||||||
| FirstName: | ANUJ | ||||||||
| MiddleName: | KUMAR | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 587 PRESIDENTIAL DR | ||||||||
| Address2: | |||||||||
| City: | YOUNGSTOWN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 445124750 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3308810339 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2300 N EDWARD ST STE 3200 | ||||||||
| Address2: | |||||||||
| City: | DECATUR | ||||||||
| State: | IL | ||||||||
| PostalCode: | 625264163 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2178763660 | ||||||||
| FaxNumber: | 2178763665 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/12/2018 | ||||||||
| LastUpdateDate: | 07/15/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 036156888 | IL | N | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | 036156888 | IL | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.