Healthcare Provider Details

I. General information

NPI: 1902293327
Provider Name (Legal Business Name): VINI SINGH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2015
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E MCDOWELL RD
PHOENIX AZ
85006-2612
US

IV. Provider business mailing address

1111 E MCDOWELL RD
PHOENIX AZ
85006-2612
US

V. Phone/Fax

Practice location:
  • Phone: 602-839-8692
  • Fax:
Mailing address:
  • Phone: 602-839-8692
  • Fax: 602-839-8188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number55914
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: