Healthcare Provider Details

I. General information

NPI: 1851599682
Provider Name (Legal Business Name): SWARAJ SINGH M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 11/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9305 W THOMAS RD STE 250
PHOENIX AZ
85037-3364
US

IV. Provider business mailing address

13640 N 99TH AVE STE 100
SUN CITY AZ
85351-0001
US

V. Phone/Fax

Practice location:
  • Phone: 623-322-5700
  • Fax: 602-482-9563
Mailing address:
  • Phone: 623-322-5700
  • Fax: 623-328-9181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number42584
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number42584
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: