Healthcare Provider Details

I. General information

NPI: 1720583602
Provider Name (Legal Business Name): POOJA DUSHYANT UTAMSINGH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2018
Last Update Date: 06/21/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST FL 4
LEXINGTON KY
40536-1005
US

IV. Provider business mailing address

22008 ALTONA DR
BOCA RATON FL
33428-4770
US

V. Phone/Fax

Practice location:
  • Phone: 859-218-2581
  • Fax: 859-257-1632
Mailing address:
  • Phone: 561-479-6173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number56911
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: