Basic Information
| Provider Information | |||||||||
| NPI: | 1942308655 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINGH | ||||||||
| FirstName: | HIMANSHU | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 291 MOODY ST | ||||||||
| Address2: | PER SE TECHNOLOGIES | ||||||||
| City: | LUDLOW | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010561246 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8008666663 | ||||||||
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| Practice Location | |||||||||
| Address1: | 789 CENTRAL AVE | ||||||||
| Address2: | WENTWORTH DOUGLASS HOSPITAL | ||||||||
| City: | DOVER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 038202526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6037428787 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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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 | 2085R0001X | 10919 | NH | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
ID Information
| ID | Type | State | Issuer | Description | 7904218 | 01 | NH | AETNA | OTHER | NH2005 | 01 | NH | HARVARD PILGRIM | OTHER | 01T002730NH01 | 01 | NH | ANTHEM BCBS | OTHER | 64865 | 01 | NH | CIGNA | OTHER | NH2005 | 01 | NH | FIRST SENIORITY | OTHER | 1002730 | 01 | NH | HMO BLUE | OTHER | 2400068 | 01 | NH | UNITED HEALTHCARE | OTHER | 30201044 | 05 | NH | MEDICAID | 0109126 | 05 | MA | MEDICAID | 1002730 | 01 | NH | BLUE CHOICE | OTHER | 51191 | 01 | NH | MATTHEW THORNTON | OTHER | 77848 | 01 | NH | HEALTHY START | OTHER | 010919 | 01 | NH | TUFTS | OTHER |