Healthcare Provider Details

I. General information

NPI: 1952762874
Provider Name (Legal Business Name): AMITA SINGH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMITA SRIVASTAVA

II. Dates (important events)

Enumeration Date: 03/20/2016
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9103 FRANKLIN SQUARE DR
BALTIMORE MD
21237-3900
US

IV. Provider business mailing address

9103 FRANKLIN SQUARE DR STE 302
BALTIMORE MD
21237-3939
US

V. Phone/Fax

Practice location:
  • Phone: 443-777-7320
  • Fax:
Mailing address:
  • Phone: 443-777-7320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberME119683
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME149685
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: