Healthcare Provider Details

I. General information

NPI: 1053428607
Provider Name (Legal Business Name): ALKA SINGAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 11/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 W PROSPECT RD
FORT LAUDERDALE FL
33309-2519
US

IV. Provider business mailing address

1135 NW 139TH AVE
PEMBROKE PINES FL
33028-2339
US

V. Phone/Fax

Practice location:
  • Phone: 954-731-1000
  • Fax: 954-497-3857
Mailing address:
  • Phone: 954-449-1746
  • Fax: 954-449-1736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberME86477
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberME86477
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME86477
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: