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NPI Code Detail

MEDICARE: SHAMEENA SINGH

MEDICARE: SHAMEENA SINGH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist1001563WI

General Provider Information

NPI Number : 1184152167
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAMEENA SINGH
Provider Business Mailing Address
First Line : 2050 E ALGONQUIN RD STE 610
Second Line :
City : SCHAUMBURG
State : IL
Zip : 60173-4166
Country : US
Telephone Number : 888-988-4066
Fax Number : 847-496-4850
Provider Business Practice Location Address
First Line : 5341 W FOND DU LAC AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-1365
Country : US
Telephone Number : 414-871-0827
Fax Number : 414-871-0859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2017
Last Update Date : 06/02/2017

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