Basic Information
Provider Information
NPI: 1710933684
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: RAJESH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5074
Address2:  
City: SIOUX FALLS
State: SD
PostalCode: 571175074
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1621 S MINNESOTA AVE
Address2:  
City: SIOUX FALLS
State: SD
PostalCode: 571051743
CountryCode: US
TelephoneNumber: 6053284700
FaxNumber: 6053284702
Other Information
ProviderEnumerationDate: 05/25/2006
LastUpdateDate: 11/25/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X4730SDY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800X43052MNN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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