Basic Information
Provider Information
NPI: 1760599484
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: MEETA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: HENRY FORD HEALTH SYSTEM
Address2: 2799 WEST GRAND BOULEVARD
City: DETROIT
State: MI
PostalCode: 48202
CountryCode: US
TelephoneNumber: 3139169106
FaxNumber:  
Practice Location
Address1: HENRY FORD HEALTH SYSTEM
Address2: 2799 WEST GRAND BOULEVARD
City: DETROIT
State: MI
PostalCode: 48202
CountryCode: US
TelephoneNumber: 3139169106
FaxNumber: 3139161249
Other Information
ProviderEnumerationDate: 08/25/2006
LastUpdateDate: 03/11/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/11/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RS0012X4301084486MIN Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
2084S0012X43084486MIY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine

ID Information
IDTypeStateIssuerDescription
MS08448601 COMMERCIAL-COMMERCIAL NUMBEROTHER
47921251005MI MEDICAID
700H26229001 BLUE CROSS-BLUE CROSSOTHER
MS08448601 CHAMPUS-CHAMPUSOTHER


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