MEDICARE: ANURAG SINGH LLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1972338168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANURAG SINGH LLC

Provider Business Mailing Address
First Line	:	579 GLASSFORD CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5288
Country	:	US
Telephone Number	:	904-383-7644
Fax Number	:

Provider Business Practice Location Address
First Line	:	5052 S JONES BLVD STE 145
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-0556
Country	:	US
Telephone Number	:	702-475-1102
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANURAG SINGH
Credential	:	MD
Telephone Number	:	702-475-1102

Provider Enumeration Date	:	09/06/2024
Last Update Date	:	09/06/2024

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