Healthcare Provider Details

I. General information

NPI: 1255836953
Provider Name (Legal Business Name): RAJ SINGH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2018
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 NW 13TH ST FL 1
BOCA RATON FL
33486-2305
US

IV. Provider business mailing address

1001 NW 13TH ST STE 201
BOCA RATON FL
33486-2269
US

V. Phone/Fax

Practice location:
  • Phone: 561-955-4111
  • Fax: 833-625-1633
Mailing address:
  • Phone: 561-955-6663
  • Fax: 561-955-2879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME176219
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: