Healthcare Provider Details

I. General information

NPI: 1376982173
Provider Name (Legal Business Name): RAE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2013
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 MITCHELLVILLE RD STE B220
BOWIE MD
20716-3147
US

IV. Provider business mailing address

5070 WINESAP WAY
ELLICOTT CITY MD
21043-7184
US

V. Phone/Fax

Practice location:
  • Phone: 301-257-5489
  • Fax: 410-988-2633
Mailing address:
  • Phone: 301-257-5489
  • Fax: 410-988-2633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0069796
License Number StateMD

VIII. Authorized Official

Name: DR. JAGDEEP SINGH
Title or Position: PRESIDENT & FOUNDER
Credential: M.D.
Phone: 520-431-9777