MEDICARE: DR. MANOJKUMAR S SINGH M.D.

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
1	207RG0100X	Gastroenterology Physician	01064669A	IN
2	207RG0100X	Gastroenterology Physician	35091007	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00675353	OTHER	IN	RAILROAD MEDICARE
4	P00675352	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295934719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANOJKUMAR S SINGH M.D.

Provider Business Mailing Address
First Line	:	9500 S DADELAND BLVD STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-2866
Country	:	US
Telephone Number	:	786-530-3820
Fax Number	:	305-675-3378

Provider Business Practice Location Address
First Line	:	8231 CORNELL RD STE 320
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45249-2281
Country	:	US
Telephone Number	:	513-389-7300
Fax Number	:	513-389-7302

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2007
Last Update Date	:	11/21/2023

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Directions to “ DR. MANOJKUMAR S SINGH M.D.” Practice Location

Language	Start Address	Practice Location

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