MEDICARE: DR. SAHIBA SINGH DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO4163	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1326573940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAHIBA SINGH DPM

Provider Business Mailing Address
First Line	:	6846 INTERNATIONAL CENTER BLVD STE B
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-7155
Country	:	US
Telephone Number	:	239-430-3668
Fax Number	:

Provider Business Practice Location Address
First Line	:	6846 INTERNATIONAL CENTER BLVD STE B
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-7155
Country	:	US
Telephone Number	:	239-430-3668
Fax Number	:

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

Provider Enumeration Date	:	04/21/2017
Last Update Date	:	08/07/2020

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